Individual
JACOBY MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
4859 SHED RD, BOSSIER CITY, LA 71111-5492
(318) 588-5012
(318) 588-5008
Mailing address
4859 SHED RD, BOSSIER CITY, LA 71111-5492
(318) 588-5012
(318) 588-5008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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