Individual
DENISE KELLY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO61461677
Contact information
Practice address
1601 E FOURTH PLAIN BLVD, VANCOUVER, WA 98661-3713
(360) 397-8246
Mailing address
10400 NE 53RD ST # 72, VANCOUVER, WA 98662-6179
(360) 952-9196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61461677
WA
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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