Mark Terrence McGruder
Counselor, Addiction (Substance Use Disorder) in Hemet, CA. Individual provider (NPI-1).
NPI number1104507599
StatusActive
Last updated in NPPESJul 27, 2023
Details
- NPI
- 1104507599
- Entity type
- Individual (NPI-1)
- Name
- Mark Terrence McGruder
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 27, 2023
- Certification date
- Jul 27, 2023
- Last updated
- Jul 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | CA | Yes |
Practice location
950 N State St Ste EHemet, CA 92543-1485
Phone 951-683-6596
Mailing address
5870 Arlington AveRiverside, CA 92504-2037
Phone 951-683-6596 · Fax 951-683-4596
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All 81 Addiction (Substance Use Disorder) Counselor providers in Hemet · All 2,251 providers in Hemet
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