Individual
MR. MARION STEPHEN CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2124 COUNTY ROAD 15, BOAZ, AL 35957-8001
(256) 557-0228
Mailing address
2124 COUNTY ROAD 15, BOAZ, AL 35957-8001
(256) 557-0228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2015034337
MO
101YP2500X
Professional Counselor
LPC04789
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015034337
—
MO
Enumeration date
08/21/2015
Last updated
08/30/2025
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