Provider Demographics
NPI:1962748327
Name:MARINO, RESHELLE CATHERINE (PHD, LPC-S, NCC)
Entity type:Individual
Prefix:DR
First Name:RESHELLE
Middle Name:CATHERINE
Last Name:MARINO
Suffix:
Gender:F
Credentials:PHD, LPC-S, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4428 CONLIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2124
Mailing Address - Country:US
Mailing Address - Phone:504-450-5940
Mailing Address - Fax:
Practice Address - Street 1:4428 CONLIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2124
Practice Address - Country:US
Practice Address - Phone:504-450-5940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALPC-S 4254101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health