Provider Demographics
NPI:1346821584
Name:MARINA COUNSELING CENTER
Entity Type:Organization
Organization Name:MARINA COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARWIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-563-2137
Mailing Address - Street 1:2137 LOMBARD ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-2773
Mailing Address - Country:US
Mailing Address - Phone:415-563-2137
Mailing Address - Fax:
Practice Address - Street 1:2137 LOMBARD ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-2773
Practice Address - Country:US
Practice Address - Phone:415-563-2137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)