Marshall, James Ivan

Marshall, James Ivan is an sole proprietor health care provider with primary practice located at 852 Island Rd , Kingsport TN 37664-4202. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Marshall, James Ivan can be contacted via phone (423) 323-4243.

Contact Information

Primary practice address
852 Island Rd Kingsport TN 37664-4202
Phone: (423) 323-4243
Fax: (423) 323-4242
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PE0000000693 Tennessee
Behavioral Health & Social Service Providers / Professional 101YP2500X 0000000016 Tennessee
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701000462 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0000000011 Tennessee

Profile Details

NPI number 1922211887
LBN Legal business name Marshall, James Ivan
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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