Provider Demographics
NPI:1336551902
Name:DRELL, MARION
Entity Type:Individual
Prefix:MRS
First Name:MARION
Middle Name:
Last Name:DRELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARION
Other - Middle Name:SUZANNE
Other - Last Name:DRELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2015 ALBERT ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-6310
Mailing Address - Country:US
Mailing Address - Phone:318-229-3973
Mailing Address - Fax:318-445-4226
Practice Address - Street 1:1605 MURRAY ST
Practice Address - Street 2:SUITE 102
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-6890
Practice Address - Country:US
Practice Address - Phone:318-229-3973
Practice Address - Fax:318-445-4226
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA42921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical