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MR. MARK ANTHONY ACUNA
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1013041581
Individual Registrant:MR. MARK ANTHONY ACUNA
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
205 PASADENA AVE SOUTH PASADENA, CA 91030-2919 US
Tel: 323-344-5536 Fax: --
Tel: 323-344-5536 Fax: --
Contact information for business:
205 PASADENA AVE SOUTH PASADENA, CA 91030-2919 US
Tel: 323-219-3938 Fax: --
Tel: 323-219-3938 Fax: --
Registration Information:
NPI: 1013041581
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | 78330 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDI-CAL | 7184 | CA | 01 |
| MEDI-CAL | 7667 | CA | 01 |
| MEDI-CAL | 7368 | CA | 01 |
| MEDI-CAL | 7708 | CA | 01 |
