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General NPI Number Information
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NPI Number | 1689834129
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Entity Type | Individual
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Provider Name | MICHELLE RENEE MARSHALL MS, LPC, LMHC, NCC
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Gender | Female
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 5123 S ASHWOOD AVE
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City | BATTLEFIELD
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State | MO
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Zip | 65619-1001
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Country | US
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Telephone | 417-522-4725
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Fax |
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Provider Business Mailing Address
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Address Line | 5123 S ASHWOOD AVE
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City | BATTLEFIELD
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State | MO
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Zip | 65619-1001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2000153173
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH12412
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License Number State | FL
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