Individual
JANUARY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3056 LOUISA RD, KESWICK, VA 22947-2155
(434) 260-1577
Mailing address
3056 LOUISA RD, KESWICK, VA 22947-2155
(434) 260-1577
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010833
VA
Other
Enumeration date
12/06/2021
Last updated
03/19/2024
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