Individual
MARILYN CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 CREIGHTON AVE, RONKONKOMA, NY 11779-4416
(631) 471-2260
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 822-6111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NY
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
05/15/2026
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