Mr. Mark Gonchar, LASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1003399403

Mr. Mark Gonchar, LASAC is an Addiction (Substance Use Disorder) Counselor in Rimrock, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in: AZ
In the registry since: 2018

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Practice location Address checks out

3095 E Coronado Trl
Rimrock, AZ 86335-5284
Phone: (928) 567-1322

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Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary)	Taxonomy 101YA0400X · Licence 13156 (AZ)

Record details

NPI number	1003399403
Entity type	Individual (Type 1)
Gender	Male
Credentials	LASAC
Sole proprietor	No
NPI enumerated	September 11, 2018
Last updated in NPPES	September 11, 2018
Mailing address	Po Box 230, Rimrock, AZ 86335-0230