Individual
BRIAN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
291 CLEAR SKY CT STE C, CLARKSVILLE, TN 37043-5951
(706) 571-7771
Mailing address
291 CLEAR SKY COURT SUITE C, CLARKSVILLE, TN 37043
(706) 571-7771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MA110026265
—
TN
Enumeration date
12/10/2012
Last updated
12/10/2012
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