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1912124173 NPI number — SHARON JEAN MARINO-CHUBB LCPC

NPI Number: 1912124173
Health Care Provider/Practitioner: SHARON JEAN MARINO-CHUBB LCPC

Information about “1912124173” NPI (SHARON JEAN MARINO-CHUBB LCPC) exists in 1912124173 in HTML format HTML  |  1912124173 in plain Text format TXT  |  1912124173 in PDF (Portable Document Format) PDF  |  1912124173 in an XML format XML  formats.

NPI Number : 1912124173 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912124173",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARINO-CHUBB",
    "FirstName": "SHARON",
    "MiddleName": "JEAN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MARINO",
    "OtherFirstName": "SHARON",
    "OtherMiddleName": "JEAN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "LCPC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "231 CHUBB LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBIA FALLS",
    "MailingAddressStateName": "MT",
    "MailingAddressPostalCode": "59912-8823",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "406-892-2892",
    "MailingAddressFaxNumber": "406-892-2892",
    "FirstLinePracticeLocationAddress": "231 CHUBB LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBIA FALLS",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59912-8823",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-892-2892",
    "PracticeLocationAddressFaxNumber": "406-892-2892",
    "EnumerationDate": "04/19/2007",
    "LastUpdateDate": "07/09/2007",
    "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": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": "559",
        "LicenseNumberStateCode": "MT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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