Organization
MARION COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID EDWARD MARION PH.D. (OWNER)
(601) 956-4816
Entity
Organization
Contact information
Practice address
460 BRIARWOOD DR STE 510, JACKSON, MS 39206-3057
(601) 956-4816
(601) 956-4816
Mailing address
PO BOX 13509, JACKSON, MS 39236-3509
(601) 956-4816
(601) 956-4817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01670076
—
MS
Enumeration date
10/31/2017
Last updated
10/31/2017
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