Individual provider · Type 1 NPI

Charles Lamonte Marshall

Addiction (Substance Use Disorder) Counselor · Freeville, NY

NPI number 1194291195 Active

Practice location

380 Freeville Rd
Freeville, NY 13068-9684

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 1194291195

Charles Lamonte Marshall's National Provider Identifier is 1194291195, issued on Oct 17, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Freeville, NY. The record was last updated on Oct 17, 2018.