Individual provider · NPI-1
Marisa Altman
Case Manager/Care Coordinator · Portsmouth, OH
NPI number1871351841
StatusActive
Last updated in NPPESMar 13, 2024
Details
- NPI
- 1871351841
- Entity type
- Individual (NPI-1)
- Name
- Marisa Altman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2024
- Certification date
- Mar 13, 2024
- Last updated
- Mar 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
411 Court StPortsmouth, OH 45662-3932
Phone 740-354-6685 · Fax 740-876-4005
Mailing address
411 Court StPortsmouth, OH 45662-3932
Phone 740-354-6685 · Fax 740-876-4005
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