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DR. SANDRA FAUST MARJON PHD
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1639790447
Individual Registrant:DR. SANDRA FAUST MARJON PHD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
67 W NORTH SHORE AVE N FT MYERS, FL 33903-4403 US
Tel: 772-485-1376 Fax: 239-938-8380
Tel: 772-485-1376 Fax: 239-938-8380
Contact information for business:
67 W NORTH SHORE AVE N FT MYERS, FL 33903-4403 US
Tel: 772-485-1376 Fax: 239-938-8380
Tel: 772-485-1376 Fax: 239-938-8380
Registration Information:
NPI: 1639790447
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | FL | MH1474 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
