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Mr. Marion Stephen Clevenger
Mental Health Counselor in Farmington, Missouri
NPI 1871960112

Marion Stephen Clevenger is a Mental Health Counselor based in Bonne Terre, MO and is specialized in Mental Health. Marion Stephen Clevenger practices in Farmington, MO. The NPI Number for Marion Stephen Clevenger is 1871960112 and holds a License No. 2015034337 (Missouri).

The current practice location address for Marion Stephen Clevenger is 1085 Maple St, Farmington, MO and can be reached out via phone at 573-756-5353 and via fax at 573-756-4557.

Location: 1085 Maple St, Farmington, MO, 63628-1517
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871960112
Provider Name
Marion Stephen Clevenger
Credential
Provider Entity Type
Individual
Gender
Male
Address
1085 Maple St, Farmington, MO, 63628-1517
Phone Number
573-756-5353
Fax Number
573-756-4557
Provider Enumeration Date
08/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2015034337 05 MO
institution
Provider Business Practice Location Address Details
Address
1085 Maple St
City
Farmington
State
Missouri
Zip
63640-1955
Phone Number
573-756-5353
Fax Number
573-756-4557
person
Provider Business Mailing Address Details
Address
1085 Maple St
City
Farmington
State
Missouri
Zip
63640-1955
Phone Number
573-756-5353
Fax Number
573-756-4557
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
2015034337 (Missouri)
Definition
Definition to come...
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