Provider Demographics
NPI:1255802823
Name:MARSCHALL, JANNA MARIE (MSMHC, LPC, NCC)
Entity type:Individual
Prefix:
First Name:JANNA
Middle Name:MARIE
Last Name:MARSCHALL
Suffix:
Gender:F
Credentials:MSMHC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N5817 WOODLAND HILLS RD
Mailing Address - Street 2:
Mailing Address - City:NEW LISBON
Mailing Address - State:WI
Mailing Address - Zip Code:53950-9116
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:306 BICKFORD ST
Practice Address - Street 2:
Practice Address - City:NEW LISBON
Practice Address - State:WI
Practice Address - Zip Code:53950-1528
Practice Address - Country:US
Practice Address - Phone:608-562-3976
Practice Address - Fax:608-562-3975
Is Sole Proprietor?:No
Enumeration Date:2018-12-07
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10529-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional