| Doctor Name: | MADELINE ROSE MARION |
| NPI Number: | 1194105007 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCAS-R |
| License Number: | LCAS-21970 |
| Business Practice Address: | 414 Hospital Dr Clyde, NC - 287218026 |
| Business Phone Number: | 8284540560 |
| Business Fax Number: | 8284568009 |
| Mailing Address: | Po Box 3282, ASHEVILLE |
| State: | NC |
| Postal Code: | 288023282 |
| Phone Number: | 8284540560 |
| Fax Number: | 8284568009 |
| NPI Enumeration Date: | 06/05/2015 |
| NPI Last Update Date: | 06/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LCAS-21970 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |