Mr. Marvin Theodore
Mr. Marvin Theodore is an Addiction (Substance Use Disorder) Counselor in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2018
Practice location Address checks out
263 Port Richmond AveStaten Island, NY 10302-1704
Phone: (718) 981-8117
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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 · Licence 33621 (NY) |
|---|
Record details
| NPI number | 1700393527 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 2, 2018 |
| Last updated in NPPES | January 2, 2018 |
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