Provider Demographics
NPI:1245547231
Name:MARSHALL, SHARMEN (MA, LPC, ICADC, AADC)
Entity type:Individual
Prefix:MRS
First Name:SHARMEN
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:MA, LPC, ICADC, AADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 7TH ST
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-1865
Mailing Address - Country:US
Mailing Address - Phone:205-765-9155
Mailing Address - Fax:
Practice Address - Street 1:2703 7TH ST
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-1865
Practice Address - Country:US
Practice Address - Phone:205-765-9155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-11
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4335101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC1738AOtherALABAMA STATE BOARD OF EXAMINERS IN COUNSELING