Organization
MARION COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MARION PH.D. (CO-OWNER)
(601) 956-4816
Entity
Organization
Contact information
Practice address
460 BRIARWOOD DR STE 510, JACKSON, MS 39206-3057
(601) 956-4816
Mailing address
PO BOX 13509, JACKSON, MS 39236-3509
(601) 956-4816
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
12 00024395
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01670076
—
MS
01
—
302G706410
MEDICARE
MS
Enumeration date
01/30/2013
Last updated
07/21/2022
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