Individual
MR. MARK SENIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, ACADC
Contact information
Practice address
1407 W MCMILLAN RD STE 120, MERIDIAN, ID 83646-5168
(208) 870-4627
Mailing address
2020 S LUXURY LN APT J306, MERIDIAN, ID 83642-4423
(208) 870-4627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11606
ID
101YP2500X
Professional Counselor
Primary
8321757
ID
Other
Enumeration date
09/26/2013
Last updated
10/28/2025
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