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NPI Code Detail

MEDICARE: MARCI WILLNER LMHC

MEDICARE:   MARCI  WILLNER  LMHC
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
1101YM0800XMental Health Counselor009764-01NY

General Provider Information

NPI Number : 1467003137
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCI WILLNER LMHC
Provider Business Mailing Address
First Line : 3 STARTING GATE CT
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-7340
Country : US
Telephone Number : 518-727-8497
Fax Number :
Provider Business Practice Location Address
First Line : 35 BATH ST
Second Line :
City : BALLSTON SPA
State : NY
Zip : 12020-1745
Country : US
Telephone Number : 518-567-2225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2019
Last Update Date : 09/24/2019

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Directions to “ MARCI WILLNER LMHC” Practice Location

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