Individual
COLLEEN (KELLEY) GARRY MARSCHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2550 UNIVERSITY AVE W, SUITE 435 S, SAINT PAUL, MN 55114-1052
(651) 647-1900
(651) 647-1861
Mailing address
2550 UNIVERSITY AVE W, SUITE 435 S, SAINT PAUL, MN 55114-1052
(651) 647-1900
(651) 647-1861
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01344
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447647797
—
MN
Enumeration date
04/23/2015
Last updated
10/25/2016
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