Provider Demographics
NPI:1043581069
Name:ALLISON, MARJORIE LUNNEN (LCSW, LCAS)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:LUNNEN
Last Name:ALLISON
Suffix:
Gender:F
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 TUNNEL RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-1869
Mailing Address - Country:US
Mailing Address - Phone:828-350-1000
Mailing Address - Fax:828-350-1300
Practice Address - Street 1:1 OAK PLZ
Practice Address - Street 2:SUITE 206
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3008
Practice Address - Country:US
Practice Address - Phone:828-252-2501
Practice Address - Fax:828-252-2701
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0087611041C0700X
NC2663101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ48118AMedicare PIN