Individual provider · Type 1 NPI

Mindy Jane Marion, QMHP

Mental Health Counselor · Champaign, IL

NPI number 1114016011 Active

Practice location

1801 Fox Dr
Champaign, IL 61820-7236

Call (217) 693-4575 Map

Mailing address

402 W Church St
Villa Grove, IL 61956-1113

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114016011

Mindy Jane Marion, QMHP's National Provider Identifier is 1114016011, issued on Oct 11, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Champaign, IL. The record was last updated on Jul 8, 2007.