Individual
MARIO GUY MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
30 BAXTER DR STE 180, HARRISONBURG, VA 22801-7632
(540) 908-3917
Mailing address
30 BAXTER DR STE 180, HARRISONBURG, VA 22801-7632
(540) 908-3917
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103568
VA
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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