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Individual

MR. CHRISTOPHER FRANK MARCELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
4905 TELEPHONE RD, PASCAGOULA, MS 39567-1823
(228) 769-1280
(228) 696-9119
Mailing address
13068 TURTLE CREEK PKWY, GULFPORT, MS 39503-5540
(228) 233-9294

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104100000X
Social Worker

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00018214
MS
Enumeration date
12/29/2020
Last updated
12/29/2020
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