Individual
MS. CHANITA MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11682 ATLANTIC AVE, LYNWOOD, CA 90262-3832
(310) 537-5883
(310) 537-5587
Mailing address
11682 ATLANTIC AVE, LYNWOOD, CA 90262-3832
(310) 537-5883
(310) 537-5587
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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