Mr. Mark Gonchar
Addiction Counselor (Substance Use Disorder)
3095 E Coronado Trl
Rimrock
, Arizona 86335-5284
Mr. Mark Gonchar
Addiction Counselor (Substance Use Disorder)
3095 E Coronado Trl
Rimrock
, Arizona 86335-5284
(928) 567-1322
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mr. Mark Gonchar
- Po Box 230
- Rimrock, AZ
- Zip : 86335-0230
- Phone : (928) 567-1322
Second Address
- Mr. Mark Gonchar
- 3095 E Coronado Trl
- Rimrock, AZ
- Zip : 86335-5284
- Phone : (928) 567-1322
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 13156 | AZ |
National Provider Identifier
| NPI | 1003399403 |
|---|---|
| Provider Name | Mr. Mark Gonchar |
| First Address | Rimrock, AZ 86335-0230 |
| Second Address | Rimrock, AZ 86335-5284 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/09/2018 |
| Last Update Date | 11/09/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.