Individual provider · Type 1 NPI

Marion W. Mault, LPCC

Mental Health Counselor · Fort Campbell, KY

NPI number 1700027448 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Mailing address

1518 S 3rd St
Ironton, OH 45638-2140

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X111037 (OH)
Mental Health Counselor Primary 101YM0800XE0701119 (OH)

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About NPI 1700027448

Marion W. Mault, LPCC's National Provider Identifier is 1700027448, issued on Mar 10, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Campbell, KY. The record was last updated on Apr 1, 2024.