Provider Demographics
NPI:1982615050
Name:MORIN, MARCIA W (LPCMH)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:W
Last Name:MORIN
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:MRS
Other - First Name:MARCIA
Other - Middle Name:
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCMH
Mailing Address - Street 1:925 KITTS HUMMOCK ROAD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901
Mailing Address - Country:US
Mailing Address - Phone:302-734-0991
Mailing Address - Fax:302-734-9336
Practice Address - Street 1:925 KITTS HUMMOCK ROAD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901
Practice Address - Country:US
Practice Address - Phone:302-734-0991
Practice Address - Fax:302-734-9336
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0000042101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor