Individual
MR. HOWARD B MARLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. ED, LADC-1
Contact information
Practice address
45 CENTRAL AVE, VINEYARD HAVEN, MA 02568-5730
(508) 687-0068
Mailing address
45 CENTRAL AVE, VINEYARD HAVEN, MA 02568-5730
(508) 687-0068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15960
MA
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659687074
—
MA
Enumeration date
12/28/2011
Last updated
12/28/2017
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