Individual
MRS. KATIE-LEIGH MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC LL
Contact information
Practice address
45 SCHOOL ST STE 202, BOSTON, MA 02108-3206
(908) 731-0819
Mailing address
1632 1ST AVE # 20163, NEW YORK, NY 10028-4305
(908) 731-0819
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20000
MA
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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