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Marissa Eve Gaven
Mental Health Counselor in Camarillo, California
NPI 1245913946

Marissa Eve Gaven is a Mental Health Counselor based in Camarillo, CA and is specialized in Mental Health. Marissa Eve Gaven practices in Camarillo, CA. The NPI Number for Marissa Eve Gaven is 1245913946 and holds a License No. APCC14645 (California).

The current practice location address for Marissa Eve Gaven is 3601 Calle Tecate Ste 201, Camarillo, CA and can be reached out via phone at 805-289-0120.

Location: 3601 Calle Tecate Ste 201, Camarillo, CA, 93012-5056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245913946
Provider Name
Marissa Eve Gaven
Credential
Provider Entity Type
Individual
Gender
Female
Address
3601 Calle Tecate Ste 201, Camarillo, CA, 93012-5056
Phone Number
805-289-0120
Fax Number
Provider Enumeration Date
08/09/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
56CC 01 CA ASPIRA
institution
Provider Business Practice Location Address Details
Address
3601 Calle Tecate Ste 201
City
Camarillo
State
California
Zip
93012-5056
Phone Number
805-289-0120
Fax Number
person
Provider Business Mailing Address Details
Address
3601 Calle Tecate Ste 201
City
Camarillo
State
California
Zip
93012-5056
Phone Number
805-289-0120
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
APCC14645 (California)
Definition
Definition to come...
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