Individual provider · Type 1 NPI

Jack Anthony Marino, MS, CMHT

Mental Health Counselor · Gulfport, MS

NPI number 1992727242 Active

Practice location

1600 Broad Ave
Gulfport, MS 39501-3603

Fax (228) 865-1700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992727242

Jack Anthony Marino, MS, CMHT's National Provider Identifier is 1992727242, issued on Jul 24, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gulfport, MS. The record was last updated on Jul 8, 2007.