Individual provider · Type 1 NPI

Marshall J. Marmolejo

Addiction (Substance Use Disorder) Counselor · Bloomington, CA

NPI number 1073947685 Active

Practice location

18612 Santa Ana Ave
Bloomington, CA 92316-2636

Call (909) 421-7120 Map

Fax (909) 421-7128

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073947685

Marshall J. Marmolejo's National Provider Identifier is 1073947685, issued on Aug 30, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, CA. The record was last updated on Aug 30, 2013.