Individual
SHEENA MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
4453 N BROADWAY ST, CHICAGO, IL 60640-5659
(773) 506-2900
Mailing address
4453 N BROADWAY ST, CHICAGO, IL 60640-5659
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29640
IL
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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