Provider Demographics
NPI:1225415243
Name:LOW, MARNI (LMFT, CASAC)
Entity Type:Individual
Prefix:
First Name:MARNI
Middle Name:
Last Name:LOW
Suffix:
Gender:F
Credentials:LMFT, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 CLIFTON PL
Mailing Address - Street 2:APT. 4F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1386
Mailing Address - Country:US
Mailing Address - Phone:917-251-5024
Mailing Address - Fax:
Practice Address - Street 1:231 FRONT ST
Practice Address - Street 2:SUITE 111
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1217
Practice Address - Country:US
Practice Address - Phone:917-727-4083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY26586101YA0400X
NY000318106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)