Marin Outpatient Recovery Services
Marin Outpatient Recovery Services is an Addiction (Substance Use Disorder) Counselor in San Rafael, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
11 Albion StSan Rafael, CA 94901-5201
Phone: (415) 879-1723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 01131697 (CA) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 03131697 (CA) |
Record details
| NPI number | 1053702787 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lindsay Ferguson — Director · (415) 215-1858 |
| NPI enumerated | February 17, 2015 |
| Last updated in NPPES | February 17, 2015 |
| Mailing address | 11 Albion St, San Rafael, CA 94901-5201 |
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-
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Gregg Mazzariello, CCAPPCOUNSELOR
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Mr. Dominique Mc Dowell, CADC-CAS
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