Individual
MARIE MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
(707) 478-6377
Mailing address
2640 BRESLAUER WAY, REDDING, CA 96001-4246
(707) 478-6377
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
MPSS-DICOXF
CA
Other
Enumeration date
07/30/2014
Last updated
10/18/2024
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