Individual
MR. MICHAEL VINCENT MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 SPOTSWOOD AVE, MONROE, NJ 08831-2476
(917) 818-0297
Mailing address
17 SPOTSWOOD AVE, MONROE, NJ 08831-2476
(917) 818-0297
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00432800
NJ
101YP2500X
Professional Counselor
Primary
37PC00755500
NJ
Other
Enumeration date
08/27/2018
Last updated
12/09/2021
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