Individual
ANGELINE MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5607 MOUNT MURPHY RD, GARDEN VALLEY, CA 95633-9563
(530) 368-3694
(530) 333-1019
Mailing address
PO BOX 871, GARDEN VALLEY, CA 95633-0871
(530) 333-9460
(530) 333-1019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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