Individual provider · Type 1 NPI
Fayteen Holman Marshall, LPC, LMFT
Professional Counselor · Dallas, TX
NPI number
1528215449
Active
Practice location
6220 Gaston Ave, Suite #501
Dallas, TX 75214-4329
Fax (214) 660-7911
Mailing address
2519 San Medina Ave
Dallas, TX 75228-3113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 8328 (TX) |
| Marriage & Family Therapist | 106H00000X | 1356 (TX) |
Professional Counselor: Definition to come...
4 other providers at this address
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About NPI 1528215449
Fayteen Holman Marshall, LPC, LMFT's National Provider Identifier is 1528215449, issued on Aug 21, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Aug 21, 2008.