Provider Demographics
NPI:1841985991
Name:MARSHALL, JESSALYN
Entity type:Individual
Prefix:
First Name:JESSALYN
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 FINKS HIDEAWAY RD APT 37
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-2391
Mailing Address - Country:US
Mailing Address - Phone:731-426-5225
Mailing Address - Fax:
Practice Address - Street 1:1761 N 19TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-4554
Practice Address - Country:US
Practice Address - Phone:318-509-8073
Practice Address - Fax:318-703-5765
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-05
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC9606101YM0800X, 171M00000X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator