Individual provider · Type 1 NPI

Tracy Marshall

Addiction (Substance Use Disorder) Counselor · Skyforest, CA

NPI number 1114117884 Active

Practice location

28545 Highway 18
Skyforest, CA 92385-0578

Call (909) 336-1800 Map

Mailing address

PO Box 930
Running Springs, CA 92382-0930

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114117884

Tracy Marshall's National Provider Identifier is 1114117884, issued on Jul 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Skyforest, CA. The record was last updated on Jul 30, 2007.