Individual
DR. MARVIN NICKLESON BATTLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC8163
MD
101YM0800X
Mental Health Counselor
PRC14935
DC
101YP2500X
Professional Counselor
Primary
PRC14935
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
821004700
—
MD
Enumeration date
06/22/2017
Last updated
10/02/2018
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