Individual
JESSICA L MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CLINICAL PSYCH
Contact information
Practice address
2479 ALOMA AVE, WINTER PARK, FL 32792-2541
(407) 657-6692
Mailing address
559 N LAKE PLEASANT RD, APOPKA, FL 32712-3903
(772) 214-8091
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/17/2011
Last updated
07/17/2011
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