Individual
NODIA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LCPC, LPC
Contact information
Practice address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(415) 424-4266
(415) 520-6633
Mailing address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(415) 424-4266
(415) 520-6633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CACII1411
DC
101YP2500X
Professional Counselor
Primary
LC6789
MD
101YP2500X
Professional Counselor
PRC14502
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031772085
—
DC
05
—
111556100
—
MD
01
—
60403408
AMERIGROUP
DC
Enumeration date
05/26/2015
Last updated
02/23/2023
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