Individual
DEVONA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
400 W RIVER DR, WEST BEND, WI 53090-1518
(262) 334-4340
(262) 334-4341
Mailing address
400 W RIVER DR, WEST BEND, WI 53090-1518
(262) 334-4340
(262) 334-4341
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
3514-125
WI
101YP2500X
Professional Counselor
Primary
3514-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40984400
—
WI
Enumeration date
08/21/2006
Last updated
12/19/2019
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