Individual
MARINA L ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC, BCPCC
Contact information
Practice address
502N EAST CORNWALLIS DR, STE B, GREENSBORO, NC 27405-5677
(336) 681-1086
(336) 370-0257
Mailing address
502N EAST CORNWALLIS DR, STE B, GREENSBORO, NC 27405-5677
(336) 681-1086
(336) 370-0257
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
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