Individual
MARK OERTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94 OAK TER, ARDEN, NC 28704-2848
(828) 301-1110
Mailing address
94 OAK TER, ARDEN, NC 28704-2848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC-20893
NC
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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