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Marissa Raquel Whorton
Mental Health Counselor in Menlo Park, California
NPI 1063164309

Marissa Raquel Whorton is a Mental Health Counselor based in Menlo Park, CA and is specialized in Mental Health. Marissa Raquel Whorton practices in Menlo Park, CA. The NPI Number for Marissa Raquel Whorton is 1063164309 and holds a License No. 103907 (California).

The current practice location address for Marissa Raquel Whorton is 3705 Haven Ave Ste 134, Menlo Park, CA and can be reached out via phone at 650-667-0117.

Location: 3705 Haven Ave Ste 134, Menlo Park, CA, 94025-1011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063164309
Provider Name
Marissa Raquel Whorton
Credential
Provider Entity Type
Individual
Gender
Female
Address
3705 Haven Ave Ste 134, Menlo Park, CA, 94025-1011
Phone Number
650-667-0117
Fax Number
Provider Enumeration Date
01/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3705 Haven Ave Ste 134
City
Menlo Park
State
California
Zip
94025-1011
Phone Number
650-667-0117
Fax Number
person
Provider Business Mailing Address Details
Address
3705 Haven Ave Ste 134
City
Menlo Park
State
California
Zip
94025-1011
Phone Number
650-667-0117
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
103907 (California)
Definition
Definition to come...
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