| Mr Marion Stephen Clevenger, | |
|
2124 County Road 15, Boaz, AL 35957-8001 | |
| (256) 557-0228 | |
| Not Available |
| Full Name | Mr Marion Stephen Clevenger |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 2124 County Road 15, Boaz, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871960112 | NPI | - | NPPES |
| 2015034337 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC04789 (Alabama) | Secondary |
| 101YM0800X | Counselor - Mental Health | 2015034337 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Marion Stephen Clevenger, 2124 County Road 15, Boaz, AL 35957-8001 Ph: (256) 557-0228 | Mr Marion Stephen Clevenger, 2124 County Road 15, Boaz, AL 35957-8001 Ph: (256) 557-0228 |
Denise Mcinnis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 605a Medical Center Pkwy, Boaz, AL 35957 Phone: 256-239-5662 | |
Jessica Bearden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 605a Medical Center Pkwy, Boaz, AL 35957 Phone: 256-239-5662 | |
Rebecca Tingle, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605a Medical Center Pkwy, Boaz, AL 35957 Phone: 256-239-5662 Fax: 256-217-4162 | |
Lee Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 605a Medical Center Pkwy, Boaz, AL 35957 Phone: 256-239-5662 | |
Meghan Street, ALC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605a Medical Center Pkwy, Boaz, AL 35957 Phone: 256-239-5662 | |
Arica Havis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605a Medical Center Pkwy, Boaz, AL 35957 Phone: 256-239-5662 | |
Christina Harrison, Counselor Medicare: Not Enrolled in Medicare Practice Location: 605a Medical Center Pkwy, Boaz, AL 35957 Phone: 256-239-5662 |