Individual provider · Type 1 NPI
Genesis Marroquin, LPCA
Professional Counselor · Irmo, SC
NPI number
1639093057
Active
Practice location
7326 Broad River Rd
Irmo, SC 29063-9861
Fax (803) 996-5228
Mailing address
2277 Sunset Blvd
West Columbia, SC 29169-4713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 11057 (SC) |
Professional Counselor: Definition to come...
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About NPI 1639093057
Genesis Marroquin, LPCA's National Provider Identifier is 1639093057, issued on Aug 7, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Irmo, SC. The record was last updated on Aug 7, 2026.