Individual
MR. MARVIN EUGENE SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
158 PLEASANT SHADE DR, EMPORIA, VA 23847-7837
(434) 348-9071
(434) 336-0835
Mailing address
209 JEFFERSON ST, EMPORIA, VA 23847-2307
(434) 634-6992
(434) 336-0835
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701000744
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086374
—
VA
05
—
188273
—
VA
05
—
4945280
—
VA
Enumeration date
06/22/2006
Last updated
07/09/2007
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