Provider Demographics
NPI:1619031432
Name:MARSHAL, MICHELLE N (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:N
Last Name:MARSHAL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MISS
Other - First Name:MICHELLE
Other - Middle Name:N
Other - Last Name:CUDDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 4201
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59604-4201
Mailing Address - Country:US
Mailing Address - Phone:406-202-3824
Mailing Address - Fax:
Practice Address - Street 1:900 N MONTANA AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-3845
Practice Address - Country:US
Practice Address - Phone:406-202-3824
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT803 LCPC101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT000744120OtherBLUE CROSS/SHIELD OF MONT