Provider Demographics
NPI:1568121705
Name:MARSHALL, BRITTNEY CHANNING (LPC)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:CHANNING
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 ALLEGHENY BLVD
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15825-2320
Mailing Address - Country:US
Mailing Address - Phone:814-715-7441
Mailing Address - Fax:
Practice Address - Street 1:222 ALLEGHENY BLVD
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15825-2320
Practice Address - Country:US
Practice Address - Phone:814-715-7441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-15
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013957101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional