Individual
MR. RAYMOND JAMES MARSHALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC, CDCA
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
339 E 329TH ST, WILLOWICK, OH 44095-3228
(440) 796-2570
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1902027-TRNE
OH
101Y00000X
Counselor
C.2003057
OH
101Y00000X
Counselor
Primary
E.2303445
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432665
—
OH
Enumeration date
12/09/2020
Last updated
05/27/2023
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