MARK ANDREW VENCKELEER

COLTON, CA
NPI1245365402
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
-- MARK ANDREW VENCKELEER
1430 E COOLEY DR STE 204
COLTON, CA 92324-3944
Phone number: 909-433-0445
Mailing Address
-- MARK ANDREW VENCKELEER
35819 RAMADA LN
YUCAIPA, CA 92399-4912
Phone number: 951-733-0891