Provider Demographics
NPI:1962634964
Name:MARSHALL, RHONDA
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 4TH ST APT 511
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-4373
Mailing Address - Country:US
Mailing Address - Phone:415-310-4171
Mailing Address - Fax:
Practice Address - Street 1:201 4TH ST APT 511
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-4373
Practice Address - Country:US
Practice Address - Phone:415-310-4171
Practice Address - Fax:415-310-4171
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)