Provider Demographics
NPI:1881235513
Name:WESTPHAL, MARNIE JO (MA, CADC)
Entity type:Individual
Prefix:MS
First Name:MARNIE
Middle Name:JO
Last Name:WESTPHAL
Suffix:
Gender:F
Credentials:MA, CADC
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1009 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-5705
Mailing Address - Country:US
Mailing Address - Phone:989-529-0102
Mailing Address - Fax:989-391-9596
Practice Address - Street 1:863 N PINE RD STE A
Practice Address - Street 2:
Practice Address - City:ESSEXVILLE
Practice Address - State:MI
Practice Address - Zip Code:48732-2159
Practice Address - Country:US
Practice Address - Phone:989-529-0102
Practice Address - Fax:989-391-9596
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)