Provider Demographics
NPI:1912090481
Name:ALBRITTON, MARSHA ANN (RN, MS, LCPC)
Entity type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:ANN
Last Name:ALBRITTON
Suffix:
Gender:F
Credentials:RN, MS, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18581 NAVAJO LANE
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:IL
Mailing Address - Zip Code:61748
Mailing Address - Country:US
Mailing Address - Phone:309-726-1707
Mailing Address - Fax:
Practice Address - Street 1:18581 NAVAJO LANE
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:IL
Practice Address - Zip Code:61748
Practice Address - Country:US
Practice Address - Phone:309-726-1707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health