MARK RONALD KISNER

LAGUNA BEACH, CA
NPI1922257484
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RA851306)
Enumeration Date2008-09-09
Last Update Date2008-09-09
Business Address
Mr. MARK RONALD KISNER MSW, CADC-II
316 THALIA ST
LAGUNA BEACH, CA 92651-2714
Phone number: 714-913-0852
Mailing Address
Mr. MARK RONALD KISNER MSW, CADC-II
316 THALIA ST
LAGUNA BEACH, CA 92651-2714
Phone number: 714-913-0852
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