Individual
MARCIA HIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1816
KY
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000996A
IN
101YM0800X
Mental Health Counselor
1816
KY
1041C0700X
Clinical Social Worker
Primary
34003834A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312003
BCBS NUMBER
KY
01
—
1816
STATE LICENSE NUMBER
KY
01
—
34003834A
STATE LICENSE NUMBER
IN
01
—
87000996A
INDIANA HEALTH PROFESSIONS BUREAU
IN
Enumeration date
11/02/2006
Last updated
07/21/2022
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