Individual provider · Type 1 NPI

Olivia Roberta Marshall

Mental Health Counselor · Lawrenceville, GA

NPI number 1477729804 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30045-8444

Call (770) 339-5377 Map

Fax (770) 339-5016

Mailing address

603 Summit Lake Dr
Stone Mountain, GA 30083-6905

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1477729804

Olivia Roberta Marshall's National Provider Identifier is 1477729804, issued on May 6, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, GA. The record was last updated on May 6, 2008.