Individual
MS. JOELLEN MARIE MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN PMHNP-BC LPCC-S
Contact information
Practice address
719 DISHMAN LANE EXT APT C, BOWLING GREEN, KY 42104-4072
(270) 202-8669
(270) 200-8781
Mailing address
719 DISHMAN LANE EXT APT C, BOWLING GREEN, KY 42104-4072
(270) 202-8669
(270) 200-8781
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
174708
KY
103TC1900X
Counseling Psychologist
6301015869
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4030407
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3402136
—
MI
05
—
7100494200
—
KY
05
—
7101015880
—
KY
Enumeration date
03/04/2015
Last updated
12/09/2024
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