Individual
PAUL RICHARD MARION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
835 W TERRA LN, O FALLON, MO 63366-2300
(636) 345-1106
Mailing address
1170 MANRESA LN, FLORISSANT, MO 63031-7321
(314) 322-7123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018012835
MO
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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