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Marissa Jean Waite
Addiction (Substance Use Disorder) Counselor in Redding, California
NPI 1992316087

Marissa Jean Waite is an Addiction (Substance Use Disorder) Counselor based in Redding, CA and is specialized in Addiction (Substance Use Disorder). Marissa Jean Waite practices in Redding, CA. The NPI Number for Marissa Jean Waite is 1992316087 and holds a License No. (California).

The current practice location address for Marissa Jean Waite is 3648 El Portal Dr, Redding, CA and can be reached out via phone at 530-722-1114.

Location: 3648 El Portal Dr, Redding, CA, 96001-2951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992316087
Provider Name
Marissa Jean Waite
Credential
Provider Entity Type
Individual
Gender
Female
Address
3648 El Portal Dr, Redding, CA, 96001-2951
Phone Number
530-722-1114
Fax Number
Provider Enumeration Date
08/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3648 El Portal Dr
City
Redding
State
California
Zip
96002-3133
Phone Number
530-722-1114
Fax Number
person
Provider Business Mailing Address Details
Address
3648 El Portal Dr
City
Redding
State
California
Zip
96002-3133
Phone Number
530-722-1114
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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