Provider Demographics
NPI:1467705228
Name:MARSHALL, ARLYN ELIZABETH (CAC, CSAC)
Entity Type:Individual
Prefix:MS
First Name:ARLYN
Middle Name:ELIZABETH
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:CAC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13127 LAZY GLEN CT
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-2327
Mailing Address - Country:US
Mailing Address - Phone:703-435-7254
Mailing Address - Fax:703-208-6025
Practice Address - Street 1:3289 WOODBURN RD STE 300
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-7355
Practice Address - Country:US
Practice Address - Phone:703-207-7554
Practice Address - Fax:703-208-6025
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710000196101YA0400X
VA081177101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)