Doctor Name: | MRS. SHELLAGH R MARSHALL-YOUNG |
NPI Number: | 1013290253 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CAS II |
License Number: | 01-040566 |
Business Practice Address: | 812 W Town And Country Rd Orange, CA - 928684712 |
Business Phone Number: | 7145476494 |
Business Fax Number: | 7145479990 |
Mailing Address: | 812 W. Town And Country Rd, ORANGE |
State: | CA |
Postal Code: | 928684712 |
Phone Number: | 1714547649 |
Fax Number: | 1714547999 |
NPI Enumeration Date: | 09/23/2011 |
NPI Last Update Date: | 09/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 01-040566 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |