Individual
KARINA ITZEL MARBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 WASHINGTON ST STE 200, WAUKEGAN, IL 60085-5564
(847) 441-5600
Mailing address
124 E BRITTANY LN, HAINESVILLE, IL 60030-4124
(224) 433-3112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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