Provider Demographics
NPI:1447556998
Name:DEBEVEC-MARKSTEINER, MARJORIE ANN (MS)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:ANN
Last Name:DEBEVEC-MARKSTEINER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:MARJORIE
Other - Middle Name:ANN
Other - Last Name:DEBEVEC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:110 24TH ST S
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN RAPIDS
Mailing Address - State:WI
Mailing Address - Zip Code:54494-1906
Mailing Address - Country:US
Mailing Address - Phone:715-727-5040
Mailing Address - Fax:715-424-5720
Practice Address - Street 1:110 24TH ST S
Practice Address - Street 2:
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54494-1906
Practice Address - Country:US
Practice Address - Phone:715-727-5040
Practice Address - Fax:715-424-5720
Is Sole Proprietor?:No
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4194-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health