Individual provider · NPI-1

Marissa Anderson

Counselor, Addiction (Substance Use Disorder) · Portsmouth, OH

NPI number1831876416
StatusActive
Last updated in NPPESJul 5, 2023

Details

NPI
1831876416
Entity type
Individual (NPI-1)
Name
Marissa Anderson
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 5, 2023
Certification date
Jul 5, 2023
Last updated
Jul 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––

Practice location

411 Court St
Portsmouth, OH 45662-3932

Phone 740-354-6685

Mailing address

411 Court St
Portsmouth, OH 45662-3932

Phone 740-354-6685

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