Marissa Sherouse
Counselor, Professional in Mason, MI. Individual provider (NPI-1).
NPI number1235823402
StatusActive
Last updated in NPPESDec 3, 2024
Details
- NPI
- 1235823402
- Entity type
- Individual (NPI-1)
- Name
- Marissa Sherouse
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2023
- Certification date
- Dec 3, 2024
- Last updated
- Dec 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6451022956 | MI | Yes |
Practice location
839 S Cedar St Ste 100Mason, MI 48854-2063
Phone 517-507-0201 · Fax 517-969-3555
Mailing address
8623 N Wayne Rd Ste 310Westland, MI 48185-1137
Phone 734-425-0636
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