MEDICARE: MARK RESCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	161014	CA

General Provider Information

NPI Number	:	1285302612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK RESCH

Provider Business Mailing Address
First Line	:	6324 FAIRMOUNT AVE
Second Line	:
City	:	EL CERRITO
State	:	CA
Zip	:	94530-6198
Country	:	US
Telephone Number	:	408-230-3610
Fax Number	:

Provider Business Practice Location Address
First Line	:	6324 FAIRMOUNT AVE
Second Line	:	PO BOX 2436
City	:	EL CERRITO
State	:	CA
Zip	:	94530-6198
Country	:	US
Telephone Number	:	510-859-4644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2021
Last Update Date	:	01/27/2026

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