Individual
COREY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
610 KENTUCKY ST, SCOTTDALE, GA 30079-1124
(770) 696-6555
Mailing address
610 KENTUCKY ST, SCOTTDALE, GA 30079-1124
(770) 696-6555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CSW009862
GA
101YM0800X
Mental Health Counselor
Primary
MSW009808
GA
1041C0700X
Clinical Social Worker
Primary
CSW009862
GA
Other
Enumeration date
04/14/2021
Last updated
02/24/2026
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