Organization · Type 2 NPI
Marian Susan Sanborn LCSW PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Port Jervis, NY
NPI number
1508548744
Active
Practice location
136 Jersey Ave
Port Jervis, NY 12771-2611
Mailing address
700 Avenue M
Matamoras, PA 18336-1811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
Other mental health clinic/center (including community mental health center) providers in Port Jervis
About NPI 1508548744
Marian Susan Sanborn LCSW PLLC's National Provider Identifier is 1508548744, issued on Aug 7, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Port Jervis, NY. The record was last updated on Dec 22, 2023.