Individual
CHRISTOPHER LYNN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLMHP, PLADC
Contact information
Practice address
4732 S 131ST ST, OMAHA, NE 68137-1822
(402) 697-3923
Mailing address
1941 S 42ND ST STE 507, OMAHA, NE 68105-2945
(531) 867-7455
(531) 466-8610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1785
NE
101YM0800X
Mental Health Counselor
9019
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026845900
—
NE
Enumeration date
08/23/2011
Last updated
07/02/2021
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