CHAVONDA MARSHALL - JACKSON


Address: 990 Illinois St, Plymouth, IN 46563-3622
Phone: 5749369646

CHAVONDA MARSHALL - JACKSON (NPI# 1801394721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801394721
Entity Type Individual
Full Name CHAVONDA MARSHALL - JACKSON
Credential ED.D., LMHC
Practice Address 990 Illinois St
Plymouth
IN 46563-3622
Mailing Address 2621 E Jefferson St
Warsaw
IN 46580-3880
Practice Telephone 5749369646
Mailing Telephone 5742677169
Enumeration Date 2018-01-25
Last Update Date 2018-01-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 990 ILLINOIS ST
City PLYMOUTH
State IN
Zip Code 46563-3622

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144229121 Michele A Schricker Social Worker 990 Illinois St, Plymouth, IN 46563 2005-07-20
1447857602 Victoria Dibiase Counselor 990 Illinois St, Plymouth, IN 46563-3622 2020-10-01
1326654849 Venessa Partridge Counselor 990 Illinois St, Plymouth, IN 46563-3622 2020-09-21
1467090779 Kari L. Hovermale Counselor 990 Illinois St, Plymouth, IN 46563-3622 2019-12-17
1871072348 Crystalia S. Weidner Counselor 990 Illinois St, Plymouth, IN 46563-3622 2018-08-07
1538653357 Bryanna M. Vannostran Counselor 990 Illinois St, Plymouth, IN 46563-3622 2018-06-15
1467952770 Joseph Fried Social Worker 990 Illinois St, Plymouth, IN 46563-3622 2018-02-14
1083126304 Taylor M. Martin Social Worker 990 Illinois St, Plymouth, IN 46563-3622 2017-10-26
1699284232 Ashley L. Jacobs Counselor 990 Illinois St, Plymouth, IN 46563-3622 2017-09-27
1679092159 Grant Nicholas Kolbe Counselor 990 Illinois St, Plymouth, IN 46563-3622 2017-09-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811547748 Steven N Wolff Pharmacist Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 2019-09-12
1295280923 Multi-county Ems LLC Ambulance 5034 Redwood Road, Plymouth, IN 46563 2016-08-23
1356473060 Donna Michelle Eggers Speech-Language Pathologist 1915 Lake Avenue, Plymouth, IN 46563 2007-03-09
1629103684 Marshall County Council On Aging Home Delivered Meals 1305 W Harrison Street, Plymouth, IN 46563 2007-02-22
1063561272 Associates In Clinical Psychology PC Psychiatric Residential Treatment Facility 317 West Monroe St, Plymouth, IN 46563 2007-01-09
1316005911 Michiana Eye Center LLC Optometrist 320 Meadow Ln, Plymouth, IN 46563 2006-12-05
1487722948 Allen Edward Reese Hearing Instrument Specialist 322 N. Michigan St., Suite C, Plymouth, IN 46563 2006-12-01
1508932252 Thomas A Miller Chiropractor 1071 Lincolnway E, Plymouth, IN 46563 2006-11-27
1679540991 Mukesh Garg Internal Medicine 2349 Lake Ave Ste 99, Plymouth, IN 46563 2006-03-06
1982686242 Woodlawn Hospital Skilled Nursing Facility 9601 Union Rd, Plymouth, IN 46563 2005-11-14
Find all providers in zip 46563

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174124648 Sedonia Counseling Services, LLC Counselor 10812 Cardinal Cir, Plymouth, IN 46563-7968 2020-11-02
1992329676 Ann Kowalski Counselor 1259 Old Sandwich Rd, Plymouth, MA 02360-2516 2020-05-29
1497378780 Juli Lynn Sneider Counselor 23 South St Apt 5, Plymouth, MA 02360-2984 2020-05-21
1588218440 Kyle Hochstin Counselor 5 Jacobs Ladder, Plymouth, MA 02360-2115 2019-07-30
1700444635 Abstract Therapy LLC. Counselor 5 Main Street Ext Ste 303, Plymouth, MA 02360-3390 2019-06-05
1902360209 Shari Cimino Pllc Counselor 42225 Ann Arbor Rd E, Plymouth, MI 48170-4364 2019-01-31
1699243667 Macayla Kelley Counselor 70 Ellisville Grn, Plymouth, MA 02360-1742 2018-11-08
1023593605 Gail Baran Good Counselor 13896 Covington Dr, Plymouth, MI 48170-2449 2018-09-28
1972085066 Brandon Welch Counselor 12 Anchor Dr, Plymouth, MA 02360-3202 2018-09-05
1609393842 Kathleen Morton Hicks Counselor 64 Industrial Park Rd Ste B, Plymouth, MA 02360-4881 2017-08-28
Find all providers in PLYMOUTH

Competitor

Search similar providers

City PLYMOUTH
Zip Code 46563

Improve Information

Please comment or provide details below to improve the information on CHAVONDA MARSHALL - JACKSON.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches