Individual
MR. MARCUS MICHAEL MARULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAC, CCS, AADC
Contact information
Practice address
648 LATIOLAIS DR, BREAUX BRIDGE, LA 70517-4231
(337) 332-4878
(337) 332-4866
Mailing address
648 LATIOLAIS DR, BREAUX BRIDGE, LA 70517-4231
(337) 332-4878
(337) 332-4866
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1014
LA
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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