MARK AMBROSIOUS

LONGVIEW, TX
NPI1811268485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  6598)
Enumeration Date2012-01-13
Last Update Date2012-01-13
Business Address
Mr. MARK AMBROSIOUS Counselor Intern
950 N 4TH ST
LONGVIEW, TX 75601-5436
Phone number: 903-758-0596
Mailing Address
Mr. MARK AMBROSIOUS Counselor Intern
PO BOX 6800
LONGVIEW, TX 75608-6800
Phone number: 903-758-2471
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