Individual
DALE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC I, CAC-AD, LGPC
Contact information
Practice address
1627 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(202) 803-2340
(202) 803-2350
Mailing address
1406B CRAIN HWY S, GLEN BURNIE, MD 21061-4099
(301) 804-0344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC I 1145
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082390200
—
DC
Enumeration date
04/27/2016
Last updated
11/18/2022
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