Marshall, Jill M
Marshall, Jill M is an individual health care provider with primary practice located at 4052 Pembroke Ln , Shasta Lake CA 96019-2411. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Marshall, Jill M can be contacted via phone (510) 207-3557.Contact Information
Primary practice address
4052 Pembroke Ln
Shasta Lake CA 96019-2411
Phone: (510) 207-3557
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 104573 | California |
Profile Details
| NPI number | 1033385562 |
|---|---|
| LBN Legal business name | Marshall, Jill M |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2008 |
| Last updated | Oct 8th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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