Provider Demographics
NPI:1922127182
Name:DREES, MARSHA C (MSSA,LISW-S,LICDC-S)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:C
Last Name:DREES
Suffix:
Gender:F
Credentials:MSSA,LISW-S,LICDC-S
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:C
Other - Last Name:RABIDEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSSA,LISW-S,LICDC-S
Mailing Address - Street 1:3840 WOODLEY ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606
Mailing Address - Country:US
Mailing Address - Phone:419-531-3500
Mailing Address - Fax:419-531-1877
Practice Address - Street 1:3840 WOODLEY ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606
Practice Address - Country:US
Practice Address - Phone:419-531-3500
Practice Address - Fax:419-531-1877
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 00070121041C0700X
OHI70121041C0700X
OH933749101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
242643-000OtherMAGELLAN HEALTH SERVICES
242643-000OtherMAGELLAN HEALTH SERVICES