Individual provider · Type 1 NPI

Ingrid M. Marin, CADC I

Addiction (Substance Use Disorder) Counselor · San Jose, CA

NPI number 1245773472 Active

Practice location

102 S 11th St
San Jose, CA 95112-2132

Mailing address

344 Leigh Ave
San Jose, CA 95128-2322

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI06311016 (CA)

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

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About NPI 1245773472

Ingrid M. Marin, CADC I's National Provider Identifier is 1245773472, issued on Nov 20, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Nov 20, 2016.