Individual
MARK DAVID LEVINE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4111 E VALLEY AUTO DR STE 106, MESA, AZ 85206-4607
(657) 234-4718
Mailing address
4111 E VALLEY AUTO DR STE 106, MESA, AZ 85206-4607
(657) 234-4718
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
22623
AZ
Other
Enumeration date
07/13/2016
Last updated
12/21/2023
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