Marion Creighton, M.ED. LPC

Individual provider Active NPI Professional Counselor · Montgomery, TX

NPI 1720748965 · NPPES record last updated Dec 29, 2021

Key facts

NPI
1720748965
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
17228 (TX)
Practice address
107 Del Monte Pines Dr
Montgomery, TX 77316-1459
Phone
(936) 689-1782
NPI assigned
Dec 29, 2021
Sex
Female
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
Master of Education

State licenses

LicenseStateTypeSpecialty
17228TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
101YP2500X 17228 TX Yes

Addresses

Primary practice location

107 Del Monte Pines Dr
Montgomery, TX 77316-1459

Mailing address

107 Del Monte Pines Dr
Montgomery, TX 77316-1459
Phone (936) 689-1782

Electronic endpoints

TypeEndpointUseAffiliation
Other URL other Other
CONNECT URL lonestarcases0930@outlook.com

Other providers in Montgomery, TX

All providers in Montgomery, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.