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NPI Code Detail

MEDICARE: MARK ANTHONY MCNEIL

MEDICARE: MARK ANTHONY MCNEIL
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1356527345
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ANTHONY MCNEIL
Provider Business Mailing Address
First Line : 2506 LINDEN ST
Second Line :
City : OAKLAND
State : CA
Zip : 94607-2931
Country : US
Telephone Number : 510-228-8739
Fax Number :
Provider Business Practice Location Address
First Line : 820 23RD ST
Second Line :
City : RICHMOND
State : CA
Zip : 94804-1338
Country : US
Telephone Number : 510-229-5000
Fax Number : 510-235-3112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2008
Last Update Date : 06/07/2026

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