Doctor Name: | MRS. SHARON JEAN MARINO-CHUBB |
NPI Number: | 1912124173 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 559 |
Business Practice Address: | 231 Chubb Ln Columbia Falls, MT - 599128823 |
Business Phone Number: | 4068922892 |
Business Fax Number: | 4068922892 |
Mailing Address: | 231 Chubb Ln, COLUMBIA FALLS |
State: | MT |
Postal Code: | 599128823 |
Phone Number: | 4068922892 |
Fax Number: | 4068922892 |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |