Individual
JODY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LCADC-S
Contact information
Practice address
2840 E FLAMINGO RD STE A, LAS VEGAS, NV 89121-5201
(702) 217-5639
(702) 441-1262
Mailing address
8565 S EASTERN AVE STE 150, LAS VEGAS, NV 89123-2906
(702) 217-5639
(702) 441-1262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/11/2010
Last updated
09/17/2024
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