Individual
JACK CODELL MARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
409 STOYSTOWN RD, SOMERSET, PA 15501-6945
(814) 445-6915
(814) 443-6019
Mailing address
409 STOYSTOWN RD, SOMERSET, PA 15501-6945
(814) 445-6915
(814) 443-6019
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC000293
PA
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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