Provider Demographics
NPI:1154020550
Name:MARSHALL, RACHEL RAMONA-ANN (LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:RAMONA-ANN
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:R
Other - Last Name:MARSHALL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC ASSOCIATE
Mailing Address - Street 1:PO BOX 7866
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726-7866
Mailing Address - Country:US
Mailing Address - Phone:713-259-2156
Mailing Address - Fax:
Practice Address - Street 1:994 SUNMEADOW DR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-3966
Practice Address - Country:US
Practice Address - Phone:832-280-7876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86637101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional