person
Mr. Tommy D Ivison, LPC
Professional Counselor in Marquand, Missouri
NPI 1508182569

Tommy D Ivison is a Professional Counselor based in Marquand, MO and is specialized in Professional. Tommy D Ivison practices in Marquand, MO and has the professional credentials of LPC. The NPI Number for Tommy D Ivison is 1508182569 and holds a License No. 2008032465 (Missouri).

The current practice location address for Tommy D Ivison is 1308 Madison 304, Marquand, MO and can be reached out via phone at 573-218-4703.

Location: 1308 Madison 304, Marquand, MO, 63655-8691
person
Provider Profile Details
NPI Number
1508182569
Provider Name
Tommy D Ivison
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1308 Madison 304, Marquand, MO, 63655-8691
Phone Number
573-218-4703
Fax Number
Provider Enumeration Date
04/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1308 Madison 304
City
State
Zip
63655-8691
Phone Number
573-218-4703
Fax Number
person
Provider Business Mailing Address Details
Address
1308 Madison 304
City
State
Zip
63655-8691
Phone Number
573-218-4703
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2008032465 (Missouri)
Definition
Definition to come...
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