Millet, Marni Marie

Millet, Marni Marie is an sole proprietor health care provider with primary practice located at 4465 E Genesee St Ste 282 , Syracuse NY 13214-2229. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Millet, Marni Marie can be contacted via phone (315) 480-7160.

Contact Information

Primary practice address
4465 E Genesee St Ste 282 Syracuse NY 13214-2229
Phone: (315) 480-7160
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CASAC-18680 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 72 084761 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 084684 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 72 084684 New York

Profile Details

NPI number 1124367669
LBN Legal business name Millet, Marni Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2013
Last updated Mar 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124367669 NPPES
New York Other CASAC-18680 NEW YORK STATE OFFICE OF ALCOHOL AND SUBSTANCE ABUSE SERVICES
New York Other 72 084684 NEW YORK STATE OFFICE OF ALCOHOL AND SUBSTANCE ABUSE SERVICES
New York Other 72 084761 NEW YORK STATE OFFICE OF ALCOHOL AND SUBSTANCE ABUSE SERVICES

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