Individual
FEDRICK L MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC III
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-4949
Mailing address
990 BANNOCK ST, MC 7782, DENVER, CO 80204-4028
(720) 956-2394
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB- 6130
CO
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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