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1033311709 NPI number — MARINA KRUGOLETS LMHC, LPC

NPI Number: 1033311709
Health Care Provider/Practitioner: MARINA KRUGOLETS LMHC, LPC

Information about “1033311709” NPI (MARINA KRUGOLETS LMHC, LPC) exists in 1033311709 in HTML format HTML  |  1033311709 in plain Text format TXT  |  1033311709 in PDF (Portable Document Format) PDF  |  1033311709 in an XML format XML  formats.

NPI Number : 1033311709 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033311709",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KRUGOLETS",
    "FirstName": "MARINA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LMHC, LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3512 QUENTIN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLYN",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11234-4244",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "201-247-2582",
    "MailingAddressFaxNumber": "347-825-2153",
    "FirstLinePracticeLocationAddress": "3512 QUENTIN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKLYN",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11234-4244",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "201-247-2582",
    "PracticeLocationAddressFaxNumber": "347-825-2153",
    "EnumerationDate": "06/04/2007",
    "LastUpdateDate": "08/14/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "006277-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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