Marion, Joellen Marie
Marion, Joellen Marie is an individual health care provider with primary practice located at 728 Chestnut St Ste 202 , Bowling Green KY 42101-6922. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Marion, Joellen Marie can be contacted via phone (270) 202-8669.Contact Information
Primary practice address
728 Chestnut St Ste 202
Bowling Green KY 42101-6922
Phone: (270) 202-8669
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401014177 | Michigan |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6301015869 | Michigan |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 174708 | Kentucky |
Profile Details
NPI number | 1346632007 |
---|---|
LBN Legal business name | Marion, Joellen Marie |
Credentials | LPCC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 4th, 2015 |
Last updated | Dec 27th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346632007 | NPPES |
Michigan | MEDICAID | 3402136 | |
Michigan | MEDICAID | 7100494200 |
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