Marino, Russell Anthony

Marino, Russell Anthony is an individual health care provider with primary practice located at 100 Village Circle Way Apt 112 , Durham NC 27713-6130. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Marino, Russell Anthony can be contacted via phone (919) 975-9216.

Contact Information

Primary practice address
100 Village Circle Way Apt 112 Durham NC 27713-6130
Phone: (919) 975-9216
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X A9058 North Carolina
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X A9058 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 9058 North Carolina

Profile Details

NPI number 1538415682
LBN Legal business name Marino, Russell Anthony
Credentials MA, LCMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2012
Last updated Apr 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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