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NPI Code Detail

MEDICARE: ANGELA MARSHALL LPC

MEDICARE:   ANGELA  MARSHALL  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 Counselor0701008350VA

General Provider Information

NPI Number : 1952960379
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MARSHALL LPC
Provider Business Mailing Address
First Line : 120 W COMMERCE ST
Second Line :
City : AMHERST
State : VA
Zip : 24521-1115
Country : US
Telephone Number : 434-946-2316
Fax Number : 434-485-8877
Provider Business Practice Location Address
First Line : 120 W COMMERCE ST
Second Line :
City : AMHERST
State : VA
Zip : 24521-1115
Country : US
Telephone Number : 434-946-2316
Fax Number : 434-946-9646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2019
Last Update Date : 12/18/2023

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Directions to “ ANGELA MARSHALL LPC” Practice Location

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