Individual
MR. MARK ALDEN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3270 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 473-3254
Mailing address
3270 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 450-1007
(415) 457-9677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
175T00000X
Peer Specialist
Primary
ONQGUSILMPZRVETD
CA
Other
Enumeration date
01/22/2018
Last updated
01/18/2023
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