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Individual
DR. KEITH LAMONT MARSHALL
Active
Individual
DR. KEITH LAMONT MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D, MHD,C.A.T.C V
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
091947V
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/20/2012
Last updated
12/06/2023
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