MARK GONCHAR

RIMROCK, AZ
NPI1003399403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  13156)
Enumeration Date2018-09-11
Last Update Date2018-09-11
Business Address
Mr. MARK GONCHAR LASAC
3095 E CORONADO TRL
RIMROCK, AZ 86335-5284
Phone number: 928-567-1322
Mailing Address
Mr. MARK GONCHAR LASAC
PO BOX 230
RIMROCK, AZ 86335-0230
Phone number: 928-567-1322
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