JESSICA MARSHALL MS NPI 1760809081

NPI Information

NPI: 1760809081
Provider Name: JESSICA MARSHALL, MS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
43 W BROAD ST
PAWCATUCK, CT
ZIP 06379
Phone: (860) 857-2834
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Jessica Marshall, MS is an addiction (substance use disorder) counselor in Pawcatuck, CT. Jessica Marshall, MS NPI is 1760809081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

43 W BROAD ST
PAWCATUCK, CT
ZIP 06379-637
Phone: (860) 857-2834

The enumeration date for this NPI number is 3/25/2014 and was last updated on 8/2/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001291	OTHER	CONNECTICUT	CT LICENSE
2	COP00771	OTHER	RHODE ISLAND	RI LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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