Individual provider · Type 1 NPI

Caroline Vieira Marino

Mental Health Counselor · Nampa, ID

NPI number 1255816708 Active

Practice location

112 9th Ave S Ste B4
Nampa, ID 83651-3825

Call (208) 261-1076 Map

Fax (208) 586-5120

Mailing address

2872 S Pine Flats Way
Meridian, ID 83642-9140

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC-6977 (ID)
Mental Health Counselor Primary 101YM0800XLCPC-10031 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1255816708

Caroline Vieira Marino's National Provider Identifier is 1255816708, issued on Oct 1, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nampa, ID. The record was last updated on Mar 8, 2024.