Doctor Name: | MRS. GERIANNE ROBERTA MARCHION |
NPI Number: | 1043304504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW. LCPC |
License Number: | 1213 |
Business Practice Address: | 307 E Park Ave. #208 Anaconda, MT - 59711 |
Business Phone Number: | 4065637677 |
Business Fax Number: | 4065637600 |
Mailing Address: | 307 E Park Ave. #208, ANACONDA |
State: | MT |
Postal Code: | 59711 |
Phone Number: | 4065637677 |
Fax Number: | 4065637600 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |