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NPI Code Detail

MEDICARE: MARILYN CASHON LP, LPC

MEDICARE: MARILYN CASHON LP, LPC
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
1101YP2500XProfessional Counselor002013MO
2103T00000XPsychologist01782MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1105760OTHERMOBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1376548321
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN CASHON LP, LPC
Provider Business Mailing Address
First Line : 3308 W EDGEWOOD DR
Second Line : STE C
City : JEFFERSON CITY
State : MO
Zip : 65109-6891
Country : US
Telephone Number : 573-761-4340
Fax Number : 573-761-4478
Provider Business Practice Location Address
First Line : 3308 W EDGEWOOD DR
Second Line : STE C
City : JEFFERSON CITY
State : MO
Zip : 65109-6891
Country : US
Telephone Number : 573-761-4340
Fax Number : 573-761-4478
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 09/11/2025

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