Provider Demographics
NPI:1245115856
Name:MARABLE, RONICA A (PHD)
Entity type:Individual
Prefix:DR
First Name:RONICA
Middle Name:A
Last Name:MARABLE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4020 DOGBERRY LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-3247
Mailing Address - Country:US
Mailing Address - Phone:252-767-9393
Mailing Address - Fax:
Practice Address - Street 1:4020 DOGBERRY LN
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-3247
Practice Address - Country:US
Practice Address - Phone:252-767-9393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10568101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor