MR. Mark Ronald Kisner, MSW, CADC-II
NPI #1922257484 in Laguna Beach, California
Provider Information
- NPI Number
- 1922257484
- Entity Type
- Individual
- Name
- MR. Mark Ronald Kisner, MSW, CADC-II
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- MSW, CADC-II
- Enumeration Date
- Sep 9, 2008
- Last Updated
- Sep 9, 2008
Practice Location
- Address
- 316 THALIA ST
- City
- Laguna Beach
- State
- California
- ZIP Code
- 92651-2714
- Phone
- (714) 913-0852
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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