person
Mr. Mark G Blackshear II
Mental Health Counselor in Lemon Grove, California
NPI 1114426525

Mark G Blackshear II is a Mental Health Counselor based in Lemon Grove, CA and is specialized in Mental Health. Mark G Blackshear II practices in Lemon Grove, CA. The NPI Number for Mark G Blackshear II is 1114426525 and holds a License No. (California).

The current practice location address for Mark G Blackshear II is 3434 Grove St, Lemon Grove, CA and can be reached out via phone at 619-281-3706.

Location: 3434 Grove St, Lemon Grove, CA, 91945-1812
person
Provider Profile Details
NPI Number
1114426525
Provider Name
Mark G Blackshear II
Credential
Provider Entity Type
Individual
Gender
Male
Address
3434 Grove St, Lemon Grove, CA, 91945-1812
Phone Number
619-281-3706
Fax Number
Provider Enumeration Date
02/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3434 Grove St
City
State
Zip
91945-1812
Phone Number
619-281-3706
Fax Number
person
Provider Business Mailing Address Details
Address
3434 Grove St
City
State
Zip
91945-1812
Phone Number
619-281-3706
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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