Individual
MRS. SHANNON ISAACS MARBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
106 N MAIN ST, UNION BRIDGE, MD 21791-9102
(443) 340-1603
Mailing address
106 N MAIN ST, UNION BRIDGE, MD 21791-9102
(443) 340-1603
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
LC5584
MD
Other
Enumeration date
08/16/2012
Last updated
04/19/2020
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