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Marissa Yvonne Brady
Mental Health Counselor in Lompoc, California
NPI 1215318894

Marissa Yvonne Brady is a Mental Health Counselor based in Santa Maria, CA and is specialized in Mental Health. Marissa Yvonne Brady practices in Lompoc, CA. The NPI Number for Marissa Yvonne Brady is 1215318894 and holds a License No. (California).

The current practice location address for Marissa Yvonne Brady is 208 North Rd Spc E, Lompoc, CA and can be reached out via phone at 805-757-1385.

Location: 208 North Rd Spc E, Lompoc, CA, 93458-7768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215318894
Provider Name
Marissa Yvonne Brady
Credential
Provider Entity Type
Individual
Gender
Female
Address
208 North Rd Spc E, Lompoc, CA, 93458-7768
Phone Number
805-757-1385
Fax Number
Provider Enumeration Date
06/09/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316192149 01 TELECARE SM ACT
institution
Provider Business Practice Location Address Details
Address
208 North Rd Spc E
City
Lompoc
State
California
Zip
93436-2709
Phone Number
805-757-1385
Fax Number
person
Provider Business Mailing Address Details
Address
208 North Rd Spc E
City
Lompoc
State
California
Zip
93436-2709
Phone Number
805-757-1385
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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