Shelley J Marino
Addiction Counselor (Substance Use Disorder)
29 S Broad St
Woodbury
, New Jersey 08096-4655
Shelley J Marino
Addiction Counselor (Substance Use Disorder)
29 S Broad St
Woodbury
, New Jersey 08096-4655
(610) 889-0732
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Shelley J Marino
- 1440 Russell Rd
- Paoli, PA
- Zip : 19301-1236
- Fax : (610) 889-0732
- Phone : (610) 644-6464
Second Address
- Shelley J Marino
- 29 S Broad St
- Woodbury, NJ
- Zip : 08096-4655
- Fax : (610) 889-0732
- Phone : (610) 644-6464
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 37CA00080800 | NJ |
National Provider Identifier
| NPI | 1003165150 |
|---|---|
| Provider Name | Shelley J Marino |
| First Address | Paoli, PA 19301-1236 |
| Second Address | Woodbury, NJ 08096-4655 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2012 |
| Last Update Date | 05/09/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.