Individual
PATRICIA L MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LADC
Contact information
Practice address
179 MAIN STREET, #4, HYDE PARK, VT 05655
(802) 279-1631
(802) 851-1141
Mailing address
PO BOX 334, 179 MAIN STREET #4, HYDE PARK, VT 05655
(802) 279-1631
(802) 851-1141
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
000499
VT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000499
VT
Other
Enumeration date
09/08/2010
Last updated
02/03/2012
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