Marshall, Devona

Marshall, Devona is an individual health care provider with primary practice located at 400 W River Dr , West Bend WI 53090-1518. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Marshall, Devona can be contacted via phone (262) 334-4340.

Contact Information

Primary practice address
400 W River Dr West Bend WI 53090-1518
Phone: (262) 334-4340
Fax: (262) 334-4341
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 3514-125 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 3514-125 Wisconsin

Profile Details

NPI number 1740396241
LBN Legal business name Marshall, Devona
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740396241 NPPES
Wisconsin MEDICAID 40984400

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