Individual
KIRSTEN KAY MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPCA, NCC
Contact information
Practice address
808 SALEM WOODS DR STE 104, RALEIGH, NC 27615-3345
(617) 216-7235
Mailing address
1332 CAISTOR LN, RALEIGH, NC 27614-7215
(617) 216-7235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A15388
NC
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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