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Chavonda Marshall - Jackson, EDD,LMHC
Mental Health Counselor in Plymouth, Indiana
NPI 1801394721

Chavonda Marshall - Jackson is a Mental Health Counselor based in Warsaw, IN and is specialized in Mental Health. Chavonda Marshall - Jackson practices in Plymouth, IN and has the professional credentials of EDD,LMHC. The NPI Number for Chavonda Marshall - Jackson is 1801394721 and holds a License No. (Indiana).

The current practice location address for Chavonda Marshall - Jackson is 990 Illinois St, Plymouth, IN and can be reached out via phone at 574-936-9646.

Location: 990 Illinois St, Plymouth, IN, 46580-3880
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801394721
Provider Name
Chavonda Marshall - Jackson
Credential
EDD,LMHC
Provider Entity Type
Individual
Gender
Female
Address
990 Illinois St, Plymouth, IN, 46580-3880
Phone Number
574-936-9646
Fax Number
Provider Enumeration Date
01/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
990 Illinois St
City
Plymouth
State
Indiana
Zip
46563-3622
Phone Number
574-936-9646
Fax Number
person
Provider Business Mailing Address Details
Address
990 Illinois St
City
Plymouth
State
Indiana
Zip
46563-3622
Phone Number
574-936-9646
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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