Provider Demographics
NPI:1407139934
Name:CELIN, MARIE IVELINE
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:IVELINE
Last Name:CELIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 CAPTAIN BLOUNT RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-2811
Mailing Address - Country:US
Mailing Address - Phone:774-722-3019
Mailing Address - Fax:
Practice Address - Street 1:26 CAPTAIN BLOUNT RD
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-2811
Practice Address - Country:US
Practice Address - Phone:774-722-3019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health