Marvin Warren Jones, PHD
Individual provider Active NPI Counseling Psychologist · Saint Clair, MI
NPI 1003154089 · NPPES record last updated Jan 25, 2013
Key facts
- NPI
- 1003154089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counseling Psychologist 103TC1900X
- License
- 6401001951 (MI)
- Practice address
- 650 River Shores Dr
Saint Clair, MI 48079-3529 - Phone
- (810) 326-9267
- NPI assigned
- Jan 25, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401001951 | MI | MD | Counseling Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401001951 | MI | |
| Counseling Psychologist | 103TC1900X | 6401001951 | MI | Yes |
Addresses
Primary practice location
650 River Shores Dr
Saint Clair, MI 48079-3529
Mailing address
650 River Shores Dr
Saint Clair, MI 48079-3529
Phone (810) 326-9267
Other providers in Saint Clair, MI
- Jessica Holcomb
- HQ of St Clair LLC
- Jennifer Mae Hutkowski
- Ann Marie Huyghe
- In Home Personal Services
- Laura Anne Karadimas
- Deanna Jean Kaufman
- William Lawbence Kearns
- Carla Jean Keck
- Sammantha Nichole Kesner
All providers in Saint Clair, MI · Counseling Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.