Individual
MR. DANIEL LESLIE MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
1220 S PARK AVE, HERRIN, IL 62948-4177
(618) 988-1757
(618) 988-1700
Mailing address
1220 S PARK AVE, HERRIN, IL 62948-4177
(618) 988-1757
(618) 988-1700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180005118
IL
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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