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Marlon German Garcia

Individual provider Active NPI Mental Health Counselor · Vineyard Haven, MA

NPI 1053628610 · NPPES record last updated Sep 2, 2010

Key facts

NPI
1053628610
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
111 Edgartown Vineyard Haven Rd
Vineyard Haven, MA 02568-4036
Phone
(508) 693-7900
Fax
(508) 696-0401
NPI assigned
Sep 2, 2010
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
875586MAMDBasic Emergency Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Martha'S Vineyard Community Services, Inc. Mental Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes
Basic Emergency Medical Technician 146N00000X 875586 MA

Addresses

Primary practice location

111 Edgartown Vineyard Haven Rd
Vineyard Haven, MA 02568-4036

Mailing address

PO Box 3356
Edgartown, MA 02539-3356
Phone (508) 816-1698

Other providers in Vineyard Haven, MA

All providers in Vineyard Haven, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.