Individual
CODY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2942 RAY WEILAND DR, BAKER, LA 70714-3250
(225) 301-7525
Mailing address
4055 N SHERWOOD FOREST DR APT 20, BATON ROUGE, LA 70814-5184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008772942
—
LA
Enumeration date
07/21/2017
Last updated
07/21/2017
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