Individual
DAVID G MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-2475
Mailing address
615 6TH AVE, LAKE ODESSA, MI 48849-1223
(269) 838-5839
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012192
MI
104100000X
Social Worker
6802076772
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715928
—
MI
Enumeration date
09/20/2006
Last updated
04/18/2015
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