| Mr Mark Gonchar, LASAC | |
|
3095 E Coronado Trl, Rimrock, AZ 86335-5284 | |
| (928) 567-1322 | |
| Not Available |
| Full Name | Mr Mark Gonchar |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3095 E Coronado Trl, Rimrock, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003399403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13156 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Gonchar, LASAC Po Box 230, Rimrock, AZ 86335-0230 Ph: (928) 567-1322 | Mr Mark Gonchar, LASAC 3095 E Coronado Trl, Rimrock, AZ 86335-5284 Ph: (928) 567-1322 |
Tamara Cy Garden, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 E Coronado Trl, Rimrock, AZ 86335 Phone: 928-567-1322 | |
Rodney Adams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Coronado Trail, Rimrock, AZ 86335 Phone: 928-567-1322 | |
Kathleen Jo Buri-baca, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Coronado Trail, Rimrock, AZ 86335 Phone: 928-567-1322 Fax: 928-567-1323 | |
Ingvild Mikkelborg, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3090 E Coronado Trl # Az86335, Rimrock, AZ 86335 Phone: 928-567-1322 | |
Timothy Mullins, MA Counselor Medicare: Medicare Enrolled Practice Location: 4485 N Eagle Cir, Rimrock, AZ 86335 Phone: 928-300-0071 | |
Shelbi Lynn Labat Petrosius, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3245 E Montezuma Ave, Rimrock, AZ 86335 Phone: 985-414-4955 |