Individual
FARAH E. MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Contact information
Practice address
1335 GUSDORF RD STE E, TAOS, NM 87571-5227
(505) 448-4125
Mailing address
PO BOX 3811, TAOS, NM 87571-3811
(310) 465-5312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2024-0240
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42828342
—
NM
Enumeration date
04/19/2024
Last updated
11/19/2024
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