Marissa Robinson
Counselor, Professional in New York, NY. Individual provider (NPI-1).
NPI number1033740352
StatusActive
Last updated in NPPESSep 29, 2022
Details
- NPI
- 1033740352
- Entity type
- Individual (NPI-1)
- Name
- Marissa Robinson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2020
- Certification date
- Sep 29, 2022
- Last updated
- Sep 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 105149-02 | NY | Yes |
| 101YP2500X | Counselor, Professional | LGP10187 | MD |
Practice location
139 Fulton St Rm 902New York, NY 10038-2531
Phone 929-379-6386
Mailing address
8941 Griffin WayPikesville, MD 21208-1424
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