Marlin Hansbrough
Marlin Hansbrough is a Mental Health Counselor in Chicago, Illinois. Qualified in 2022, 4 years ago. Licensed in Illinois and Texas.
- Years since qualifying
- 4
- Licensed in
- IL, TX
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
10540 S Western AveChicago, IL 60643-2536
Phone: (773) 659-9207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 178.018032 (IL) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 90823 (TX) |
Record details
| NPI number | 1538806823 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 18, 2022 |
| Last updated in NPPES | January 25, 2023 |
| Certification date | January 25, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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