Provider Demographics
NPI:1902297104
Name:PARTINGTON, MARSHA G (MA LADC)
Entity Type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:G
Last Name:PARTINGTON
Suffix:
Gender:F
Credentials:MA LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 ALTHEA LN
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-7101
Mailing Address - Country:US
Mailing Address - Phone:952-239-3353
Mailing Address - Fax:
Practice Address - Street 1:13001 COUNTY ROAD 5
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-2226
Practice Address - Country:US
Practice Address - Phone:651-249-5672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN303859101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)