Individual provider · Type 1 NPI
Tommy D. Ivison, LPC
Professional Counselor · Marquand, MO
NPI number
1508182569
Active
Practice location
1308 Madison 304
Marquand, MO 63655-8691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2008032465 (MO) |
Professional Counselor: Definition to come...
About NPI 1508182569
Tommy D. Ivison, LPC's National Provider Identifier is 1508182569, issued on Apr 15, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Marquand, MO. The record was last updated on Feb 14, 2015.