Provider Demographics
NPI:1427508167
Name:NORLUND, MARJORIE (LMHC)
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:
Last Name:NORLUND
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 OAKBRIAR CT
Mailing Address - Street 2:APT. 20
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-2676
Mailing Address - Country:US
Mailing Address - Phone:585-469-8371
Mailing Address - Fax:
Practice Address - Street 1:110 OAKBRIAR CT
Practice Address - Street 2:APT. 20
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-2676
Practice Address - Country:US
Practice Address - Phone:585-469-8371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006587101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health