Doctor Name: | MRS. CYNTHIA DIANNE MARRS |
NPI Number: | 1093106882 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 70649 |
Business Practice Address: | 119 Village Dr Kerrville, TX - 780282845 |
Business Phone Number: | 8172191256 |
Business Fax Number: | |
Mailing Address: | 119 Village Dr, KERRVILLE |
State: | TX |
Postal Code: | 780282845 |
Phone Number: | 8172191256 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2015 |
NPI Last Update Date: | 02/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 70649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |