Marion, Joellen Marie
Marion, Joellen Marie is an individual health care provider with primary practice located at 719 Dishman Lane Ext Apt C , Bowling Green KY 42104-4072. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counseling, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Marion, Joellen Marie can be contacted via phone (270) 202-8669.Contact Information
Primary practice address
719 Dishman Lane Ext Apt C
Bowling Green KY 42104-4072
Phone: (270) 202-8669
Fax: (270) 200-8781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 174708 | Kentucky |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6301015869 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 4030407 | Kentucky |
Profile Details
| NPI number | 1346632007 |
|---|---|
| LBN Legal business name | Marion, Joellen Marie |
| Credentials | APRN PMHNP-BC LPCC-S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 4th, 2015 |
| Last updated | Dec 9th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346632007 | NPPES |
| Michigan | MEDICAID | 3402136 | |
| Michigan | MEDICAID | 7100494200 | |
| Michigan | MEDICAID | 7101015880 |
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