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NPI Code Detail

MEDICARE: YVONNE DARLENE MARINO COUNSELOR

MEDICARE: YVONNE DARLENE MARINO COUNSELOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor9541CA

General Provider Information

NPI Number : 1366914020
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVONNE DARLENE MARINO COUNSELOR
Provider Business Mailing Address
First Line : 1939 W VISTA WAY
Second Line :
City : VISTA
State : CA
Zip : 92083-6019
Country : US
Telephone Number : 760-305-7528
Fax Number :
Provider Business Practice Location Address
First Line : 1939 W VISTA WAY
Second Line :
City : VISTA
State : CA
Zip : 92083-6019
Country : US
Telephone Number : 760-305-7528
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2018
Last Update Date : 10/23/2024

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Directions to “ YVONNE DARLENE MARINO COUNSELOR” Practice Location

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