person
Mr. Mark Ronald Kisner, MSW,CADC-II
Addiction (Substance Use Disorder) Counselor in Laguna Beach, California
NPI 1922257484

Mark Ronald Kisner is an Addiction (Substance Use Disorder) Counselor based in Laguna Beach, CA and is specialized in Addiction (Substance Use Disorder). Mark Ronald Kisner practices in Laguna Beach, CA and has the professional credentials of MSW,CADC-II. The NPI Number for Mark Ronald Kisner is 1922257484 and holds a License No. RA851306 (California).

The current practice location address for Mark Ronald Kisner is 316 Thalia St, Laguna Beach, CA and can be reached out via phone at 714-913-0852 and via fax at 949-497-3687.

Location: 316 Thalia St, Laguna Beach, CA, 92651-2714
person
Provider Profile Details
NPI Number
1922257484
Provider Name
Mark Ronald Kisner
Credential
MSW,CADC-II
Provider Entity Type
Individual
Gender
Male
Address
316 Thalia St, Laguna Beach, CA, 92651-2714
Phone Number
714-913-0852
Fax Number
949-497-3687
Provider Enumeration Date
09/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RA851306 01 CA CERTIFICATION BOARD OF ALCOHOL AND DRUG COUNSELORS
institution
Provider Business Practice Location Address Details
Address
316 Thalia St
City
State
Zip
92651-2714
Phone Number
714-913-0852
Fax Number
949-497-3687
person
Provider Business Mailing Address Details
Address
316 Thalia St
City
State
Zip
92651-2714
Phone Number
714-913-0852
Fax Number
949-497-3687
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
RA851306 (California)
Definition
Definition to come...
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