CHASEN MARK DREXEL

SACRAMENTO, CA
NPI1679298657
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1482680922)
Enumeration Date2022-10-11
Last Update Date2022-10-11
Business Address
Mr. CHASEN MARK DREXEL RADT-1
9012 EL CAJON WAY APT 2
SACRAMENTO, CA 95826-3328
Phone number: 916-579-8167
Mailing Address
Mr. CHASEN MARK DREXEL RADT-1
1914 23RD ST
SACRAMENTO, CA 95816-7113
Phone number: 916-455-6258