Mr Mark Ambrosious, COUNSELOR INTERN - Counselor in Longview, TX

Mr Mark Ambrosious, COUNSELOR INTERN is a Counselor - Addiction (substance Use Disorder) based in Longview, Texas. Mr Mark Ambrosious is licensed to practice in Texas (license number 6598) and his current practice location is 950 N 4th St, Longview, Texas. He can be reached at his office (for appointments etc.) via phone at (903) 758-0596.

NPI number for Mr Mark Ambrosious is 1811268485 and his current mailing address is Po Box 6800, Longview, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811268485.

Contact Information

Mr Mark Ambrosious, COUNSELOR INTERN
950 N 4th St,
Longview, TX 75601-5436
(903) 758-0596
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Mark Ambrosious
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location950 N 4th St, Longview, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811268485
  • Provider Enumeration Date: 01/13/2012
  • Last Update Date: 01/13/2012

Medical Identifiers

Medical identifiers for Mr Mark Ambrosious such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811268485NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 6598 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Ambrosious is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Mark Ambrosious, COUNSELOR INTERN
Po Box 6800,
Longview, TX 75608-6800

Ph: (903) 758-2471
Mr Mark Ambrosious, COUNSELOR INTERN
950 N 4th St,
Longview, TX 75601-5436

Ph: (903) 758-0596

Reviews and Comments


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