Individual
MARSHALL BRUCE GARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC
Contact information
Practice address
3640 EXPRESS DR, SHALLOTTE, NC 28470-6501
(910) 297-3551
Mailing address
10163 CREEKSIDE DR SE, UNIT 2, LELAND, NC 28451-7472
(910) 297-3551
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A9628
NC
Other
Enumeration date
09/25/2012
Last updated
03/30/2015
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