Individual
BRENDA JEAN MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADAC
Contact information
Practice address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 534-4222
Mailing address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 534-4222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1427 AD
MA
Other
Enumeration date
12/07/2009
Last updated
08/16/2016
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