Individual
MR. MARC M ORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
3444 N 1ST ST STE 401, ABILENE, TX 79603-6940
(325) 690-1313
(325) 690-1383
Mailing address
3444 N 1ST ST STE 401, ABILENE, TX 79603-6940
(325) 690-1313
(325) 690-1383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2073
TX
106H00000X
Marriage & Family Therapist
828
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025795801
—
TX
01
—
1003LC
BCBS
TX
Enumeration date
05/23/2006
Last updated
02/10/2019
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