Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK TERRENCE MCGRUDER
Active Sole ProprietorMARK TERRENCE MCGRUDER is a Addiction (Substance Use Disorder) Counselor healthcare provider located in HEMET, California. NPI 1104507599 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · HEMET, CA
Registration Details
- NPI Number
- 1104507599
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2023 (3.0414072548822 yrs)
- Last Updated
- Jul 27, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
950 N STATE ST STE EHEMET, CA, 925431485Browse CA providers · Browse ZIP 92543
- Phone
- 9516836596
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in HEMET, CA
| Name | Credential | NPI |
|---|---|---|
| MS. GERALDINE IMFELD | — | 1760576433 |
| LYLEEN P. TISH HUGHES | LAADC,CADC II, CCS | 1336236926 |
| MR. RUDOLPH PALACIOS | — | 1538204458 |
| MR. NATHANIEL MARK TOLLEFSON | — | 1093850703 |
| MS. JANICE H DODDS | — | 1821133778 |
| MS. BETH D ANDERSON | — | 1952446346 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.