Individual
MARINA L ERVIN
Active
Individual
MARINA L ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC, BCPCC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3425 LPC
NC
101YP2500X
Professional Counselor
47974 NCC
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131AP
BCBS/NC HEALTH CHOICE
NC
05
—
6102031
—
NC
Enumeration date
05/30/2005
Last updated
10/30/2007
Update your record
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