Individual
MS. JODI MARIE MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15397 STATE HIGHWAY 32, NORTHERN HEALTH CENTERS, INC., LAKEWOOD, WI 54138-9702
(715) 276-6321
(715) 276-1428
Mailing address
12980 COUNTY ROAD D, LAC DU FLAMBEAU, WI 54538-9709
(715) 892-7157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3675125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40967500
—
WI
Enumeration date
01/22/2007
Last updated
03/31/2010
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