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1386214310
MARK HAUSKNECHT
TARZANA, CA
NPI
1386214310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-07-01
Last Update Date
2021-07-01
Business Address
MARK HAUSKNECHT
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-654-3828
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Mailing Address
MARK HAUSKNECHT
21606 DEVONSHIRE ST # 3772
CHATSWORTH, CA 91311-2901
Phone number: 310-591-0912
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