| Mr Jack Anthony Marino, MS,CMHT | |
|
1600 Broad Ave, Gulfport, MS 39501-3603 | |
| (228) 863-1132 | |
| (228) 865-1700 |
| Full Name | Mr Jack Anthony Marino |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1600 Broad Ave, Gulfport, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992727242 | NPI | - | NPPES |
| 00018213 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack Anthony Marino, MS,CMHT 1600 Broad Ave, Gulfport, MS 39501-3603 Ph: (228) 863-1132 | Mr Jack Anthony Marino, MS,CMHT 1600 Broad Ave, Gulfport, MS 39501-3603 Ph: (228) 863-1132 |
Mrs. Brenda Kay Crew, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 127 Gary St, Gulfport, MS 39503 Phone: 228-832-4495 Fax: 228-832-4495 | |
Mrs. Ashira Windsor, MSW, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1601 30th Ave, Gulfport, MS 39501 Phone: 228-284-2644 Fax: 855-402-2013 | |
Krystal Rice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-213-5888 Fax: 228-575-3433 | |
Christina Machelle Davis, P-LPC, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2352 E Pass Rd, Gulfport, MS 39507 Phone: 228-284-2337 Fax: 228-284-2337 | |
Cynthia Willett, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-863-1132 | |
Ms. Rita A Rademacher, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-863-1132 Fax: 228-865-1700 | |
Olivia Vepley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 Security Sq, Gulfport, MS 39507 Phone: 363-222-8206 |