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Marissa Liana Vasquez

Counselor, Addiction (Substance Use Disorder) in Long Beach, CA. Individual provider (NPI-1).

NPI number1942080353
StatusActive
Last updated in NPPESOct 3, 2023

Details

NPI
1942080353
Entity type
Individual (NPI-1)
Name
Marissa Liana Vasquez
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 3, 2023
Certification date
Oct 3, 2023
Last updated
Oct 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

2101 Magnolia Ave
Long Beach, CA 90806-4521

Phone 888-777-8565

Mailing address

100 Esperanza Ave Apt 6
Long Beach, CA 90802-5775

Phone 909-217-5205

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