Individual
JUDYE R MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2300 W BONANZA RD, LAS VEGAS, NV 89106-4718
(702) 647-5842
Mailing address
2300 W BONANZA RD, LAS VEGAS, NV 89106-4718
(702) 647-5842
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01273-L
NV
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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