Provider Demographics
NPI:1063596427
Name:MARMION, JANE JESTER (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:JESTER
Last Name:MARMION
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 570295
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77257-0295
Mailing Address - Country:US
Mailing Address - Phone:713-785-3636
Mailing Address - Fax:713-785-3621
Practice Address - Street 1:1315 ST JOSEPH PARKWAY SUITE 1500
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002
Practice Address - Country:US
Practice Address - Phone:713-757-0894
Practice Address - Fax:713-659-1647
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
00S39WMedicare ID - Type Unspecified