Individual provider · Type 1 NPI

Carlos Baxter Marino, CAC-M

Addiction (Substance Use Disorder) Counselor · Detroit, MI

NPI number 1376793042 Active

Practice location

13575 Lesure St
Detroit, MI 48227-3131

Call (313) 493-4410 Map

Fax (313) 493-4415

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1-03543 (MI)

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

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About NPI 1376793042

Carlos Baxter Marino, CAC-M's National Provider Identifier is 1376793042, issued on Sep 30, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Detroit, MI. The record was last updated on Sep 30, 2008.