Individual
MICHAEL G MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
1014 BAY ST, SUITE 24, PORT ORCHARD, WA 98366-5242
(360) 602-0022
(360) 335-6432
Mailing address
1014 BAY ST, SUITE 24, PORT ORCHARD, WA 98366-5242
(360) 602-0022
(360) 335-6432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00001081
WA
Other
Enumeration date
05/19/2014
Last updated
04/12/2021
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