Individual provider · Type 1 NPI

Makedra O'Shun Ivy

Mental Health Counselor · Marion, AR

NPI number 1215079264 Active

Practice location

210 Manor Street
Marion, AR 72364-9522

Call (870) 739-6818 Map

Fax (870) 739-1970

Mailing address

1886 Wall St Apt 7
Memphis, TN 38134-9621

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215079264

Makedra O'Shun Ivy's National Provider Identifier is 1215079264, issued on Feb 13, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marion, AR. The record was last updated on Jul 25, 2008.