Marissa Ross Valid NPI

Individual provider · Mental Health Counselor · Fairport, NY

NPI

1609240654

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

006179 (NY)

Sex

Female

Sole proprietor

Yes

Enumerated

2015-11-13

Last updated

2016-03-17