Individual provider · Type 1 NPI

Simon D. Marshall, CASAC

Addiction (Substance Use Disorder) Counselor · Elmhurst, NY

NPI number 1669657334 Active

Practice location

80th St & 41st Ave
Elmhurst, NY 11373-1329

Fax (718) 334-5958

Mailing address

7901 Broadway, Managed Care, D1-01
Elmhurst, NY 11373-1329

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X020578 (NY)

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

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About NPI 1669657334

Simon D. Marshall, CASAC's National Provider Identifier is 1669657334, issued on Dec 31, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elmhurst, NY. The record was last updated on Dec 31, 2007.