Individual provider · Type 1 NPI

Marquis Angelo Baskerville

Mental Health Counselor · Scranton, PA

NPI number 1295623395 Active

Practice location

116 Larch St
Scranton, PA 18509-2802

Mailing address

1065 The Hideout
Lake Ariel, PA 18436-9514

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295623395

Marquis Angelo Baskerville's National Provider Identifier is 1295623395, issued on Jun 26, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Scranton, PA. The record was last updated on Jun 26, 2025.