Provider Demographics
NPI:1104573559
Name:MARSHALL, ARICKA KAY (MS, LPC, NCC, CSC)
Entity type:Individual
Prefix:
First Name:ARICKA
Middle Name:KAY
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:MS, LPC, NCC, CSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 OAK SHORE DR
Mailing Address - Street 2:
Mailing Address - City:GUNTER
Mailing Address - State:TX
Mailing Address - Zip Code:75058-3210
Mailing Address - Country:US
Mailing Address - Phone:817-598-9852
Mailing Address - Fax:
Practice Address - Street 1:44 OAK SHORE DR
Practice Address - Street 2:
Practice Address - City:GUNTER
Practice Address - State:TX
Practice Address - Zip Code:75058-3210
Practice Address - Country:US
Practice Address - Phone:817-598-9852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-06
Last Update Date:2022-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79047101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health