Individual provider · Type 1 NPI

Marilyn K. Brimmage, MA LPCA LCASA

Professional Counselor · Mount Olive, NC

NPI number 1194368431 Active

Practice location

110 S Center St
Mount Olive, NC 28365-2124

Fax (919) 635-3388

Mailing address

PO Box 654
Mount Olive, NC 28365-0654

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XA15194 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400XLCAS-A-25746 (NC)
Prevention Professional 405300000XCSAPC-20397 (NC)

Professional Counselor: Definition to come...

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About NPI 1194368431

Marilyn K. Brimmage, MA LPCA LCASA's National Provider Identifier is 1194368431, issued on Oct 18, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mount Olive, NC. The record was last updated on Oct 21, 2019.