Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marshall J Marmolejo

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1073947685

Marshall J Marmolejo is an Addiction (Substance Use Disorder) Counselor in Bloomington, California. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

18612 Santa Ana Ave
Bloomington, CA 92316-2636
Phone: (909) 421-7120
Fax: (909) 421-7128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1073947685
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2013
Last updated in NPPESAugust 30, 2013
Mailing address18612 Santa Ana Ave, Bloomington, CA 92316-2636

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