| Doctor Name: | LYNN ROQUEMORE MARSHALL |
| NPI Number: | 1376737379 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 62684 |
| Business Practice Address: | 779 Dames Ferry Rd Forsyth, GA - 310292505 |
| Business Phone Number: | 9723229000 |
| Business Fax Number: | |
| Mailing Address: | 779 Dames Ferry Rd, FORSYTH |
| State: | GA |
| Postal Code: | 310292505 |
| Phone Number: | 8179198402 |
| Fax Number: | |
| NPI Enumeration Date: | 09/02/2007 |
| NPI Last Update Date: | 03/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 62684 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |