person
Marissa Lee Douglas, LMHC
Mental Health Counselor in Brockport, New York
NPI 1417600982

Marissa Lee Douglas is a Mental Health Counselor based in Hilton, NY and is specialized in Mental Health. Marissa Lee Douglas practices in Brockport, NY and has the professional credentials of LMHC. The NPI Number for Marissa Lee Douglas is 1417600982 and holds a License No. 011838-01 (New York).

The current practice location address for Marissa Lee Douglas is 300 West Ave, Brockport, NY and can be reached out via phone at 585-637-3905.

Location: 300 West Ave, Brockport, NY, 14468-9709
person
Provider Profile Details
NPI Number
1417600982
Provider Name
Marissa Lee Douglas
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
300 West Ave, Brockport, NY, 14468-9709
Phone Number
585-637-3905
Fax Number
Provider Enumeration Date
02/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 West Ave
City
State
Zip
14420-1118
Phone Number
585-637-3905
Fax Number
person
Provider Business Mailing Address Details
Address
300 West Ave
City
State
Zip
14420-1118
Phone Number
585-637-3905
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
011838-01 (New York)
Definition
Definition to come...
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