Individual provider · Type 1 NPI

Carol Ann Marine

Professional Counselor · Southfield, MI

NPI number 1477041598 Active

Practice location

17348 W 12 Mile Rd Ste 106
Southfield, MI 48076-6325

Call (888) 492-9386 Map

Mailing address

PO Box 760224
Lathrup Village, MI 48076-0224

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401002893 (MI)

Professional Counselor: Definition to come...

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About NPI 1477041598

Carol Ann Marine's National Provider Identifier is 1477041598, issued on Apr 24, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Southfield, MI. The record was last updated on Apr 24, 2018.