NPI 1003165150

Shelley J Marino, MACADC

Practitioner Addiction (Substance Use Disorder) Counselor Woodbury, NJ

Practice location

Address: 29 S Broad St, Woodbury, NJ 08096-4655
Phone: (610) 644-6464
Fax: (610) 889-0732
Mailing address: 1440 Russell Rd, Paoli, PA 19301-1236

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 37CA00080800 (NJ)

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Registry record

NPI: 1003165150
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Sep 2012
Record last updated: 5 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.