| Doctor Name: | MR. DEE MILTON MARBLE |
| NPI Number: | 1184969883 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SUDC |
| License Number: | 2784686-6005 |
| Business Practice Address: | 845 West 200 North Kaysville, UT - 84037 |
| Business Phone Number: | 8015936777 |
| Business Fax Number: | 8015440200 |
| Mailing Address: | Po Box 699, KAYSVILLE |
| State: | UT |
| Postal Code: | 84037 |
| Phone Number: | 8015936777 |
| Fax Number: | 8015440200 |
| NPI Enumeration Date: | 12/06/2012 |
| NPI Last Update Date: | 12/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2784686-6005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |