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NPI Code Detail

MEDICARE: CHRIS MARSHALL

MEDICARE: CHRIS MARSHALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YA0400XAddiction (Substance Use Disorder) Counselor
3101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1336509389
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS MARSHALL
Provider Business Mailing Address
First Line : 2670 TRUXEL RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95833-1824
Country : US
Telephone Number : 916-370-5343
Fax Number :
Provider Business Practice Location Address
First Line : 6060 SUNRISE VISTA DR STE 2100
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95610-7068
Country : US
Telephone Number : 916-370-5343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2016
Last Update Date : 04/03/2023

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