Organization
GEORGE MARSHALL COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE D MARSHALL LCSW (OWNER)
(270) 295-6450
Entity
Organization
Contact information
Practice address
1210 4TH ST, LEWISPORT, KY 42351-2526
(270) 295-6450
Mailing address
PO BOX 297, LEWISPORT, KY 42351-0297
(270) 295-6450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1636
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093178048
—
KY
01
—
K197630
MEDICARE PTAN
KY
Enumeration date
03/29/2016
Last updated
05/11/2016
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