MR. MARK PETER DESJARDINS B. ED
NPI 1578944161
Counselor - Mental Health in Lake Elsinore, CA
Active since June 09, 2015
265 SAN JACINTO RIVER RD STE 107, LAKE ELSINORE, CA 92530(951) 674-9243(951) 674-9635 Get Directions Write a Review
About Mr. Mark Peter Desjardins B. Ed NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MARK PETER DESJARDINS B. ED (NPI 1578944161) is an individual mental health provider in Lake Elsinore, California and active in the NPI registry since June 2015. He maintains a secondary practice location in Riverside.
NPPES Registry Identity
NPI1578944161
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MARK PETER DESJARDINSCredential: B. ED
Location Address265 SAN JACINTO RIVER RD STE 107Lake Elsinore, CA 92530-4400
Mailing Address265 San Jacinto River Rd Ste 107Lake Elsinore, CA 92530-4400 · (951) 674-9243 · Fax (951) 674-9635
Phone(951) 674-9243
Fax(951) 674-9635
Sole ProprietorYes
Enumeration DateJune 9, 2015
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1578944161 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
265 SAN JACINTO RIVER RD STE 107, Lake Elsinore, CA 92530
Secondary Practice Location 1
Location 12085 Rustin AveRiverside, CA 92507-2498 · Phone (951) 955-7263
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Mental Health)
265 SAN JACINTO RIVER RD STE 107
LAKE ELSINORE, CA 92530
LAKE ELSINORE, CA 92530
Social Worker (Clinical)
265 SAN JACINTO RIVER RD STE 107
LAKE ELSINORE, CA 92530
LAKE ELSINORE, CA 92530
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578944161, enumerated as an "individual" on June 09, 2015.
The provider is located at 265 SAN JACINTO RIVER RD STE 107 LAKE ELSINORE, CA 92530 and the phone number is (951) 674-9243.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.