Ambrosious, Mark

Ambrosious, Mark is an individual health care provider with primary practice located at 950 N 4Th St , Longview TX 75601-5436. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ambrosious, Mark can be contacted via phone (903) 758-0596.

Contact Information

Primary practice address
950 N 4Th St Longview TX 75601-5436
Phone: (903) 758-0596
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6598 Texas

Profile Details

NPI number 1811268485
LBN Legal business name Ambrosious, Mark
Credentials COUNSELOR INTERN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2012
Last updated Jan 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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