Provider Demographics
NPI:1174173561
Name:CHI, MARINA ELIZABETH (MA)
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:ELIZABETH
Last Name:CHI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:MARINA
Other - Middle Name:ELIZABETH
Other - Last Name:WESTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:650 HOWE AVE STE 400-B
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-4731
Mailing Address - Country:US
Mailing Address - Phone:916-247-7162
Mailing Address - Fax:
Practice Address - Street 1:650 HOWE AVE STE 400-B
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-4731
Practice Address - Country:US
Practice Address - Phone:916-247-7162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor