Provider Demographics
NPI:1154519940
Name:MARION, VERNA JEAN (LCSW, LISAC, BCD)
Entity type:Individual
Prefix:MS
First Name:VERNA
Middle Name:JEAN
Last Name:MARION
Suffix:
Gender:F
Credentials:LCSW, LISAC, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2357 E CABALLERO ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-7610
Mailing Address - Country:US
Mailing Address - Phone:480-461-0301
Mailing Address - Fax:
Practice Address - Street 1:2357 E CABALLERO ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-7610
Practice Address - Country:US
Practice Address - Phone:480-461-0301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSW0090I1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical