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Mr. Russell Anthony Marino, MA,LCMHC
Mental Health Counselor in Durham, North Carolina
NPI 1538415682

Russell Anthony Marino is a Mental Health Counselor based in Durham, NC and is specialized in Mental Health. Russell Anthony Marino practices in Durham, NC and has the professional credentials of MA,LCMHC. The NPI Number for Russell Anthony Marino is 1538415682 and holds a License No. A9058 (North Carolina).

The current practice location address for Russell Anthony Marino is 100 Village Circle Way Apt 112, Durham, NC and can be reached out via phone at 919-975-9216.

Location: 100 Village Circle Way Apt 112, Durham, NC, 27713-6130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538415682
Provider Name
Russell Anthony Marino
Credential
MA,LCMHC
Provider Entity Type
Individual
Gender
Male
Address
100 Village Circle Way Apt 112, Durham, NC, 27713-6130
Phone Number
919-975-9216
Fax Number
Provider Enumeration Date
07/26/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Village Circle Way Apt 112
City
Durham
State
North Carolina
Zip
27713-6130
Phone Number
919-975-9216
Fax Number
person
Provider Business Mailing Address Details
Address
100 Village Circle Way Apt 112
City
Durham
State
North Carolina
Zip
27713-6130
Phone Number
919-975-9216
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
A9058 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
A9058 (North Carolina)
Definition
Definition to come...
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