Individual
MICHAEL THOMAS MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 789-5971
(517) 789-5718
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401006358
MI
101YM0800X
Mental Health Counselor
6401006358
MI
101YP2500X
Professional Counselor
6401006358
MI
104100000X
Social Worker
6802059251
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401006358
LICENSED COUNSELOR
MI
Enumeration date
06/14/2006
Last updated
06/20/2025
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