# MARISSA SILVESTRO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184999443
- **Gender:** F
- **Credential:** LMFT,MFT,BA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 1611 | CT | Yes |

## Other

- **Enumeration date:** 03/19/2012
- **Last updated:** 10/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004392020 | — | CT |
| 01 | — | 060669107 | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY | CT |
| 01 | — | 12659252 | CAQH | CT |
| 01 | — | 4679887 | CIGNA BEHAVIORAL HEALTH- WELLMORE | CT |
| 01 | — | 9951843 | AETNA BEHAVIORAL HEALTH | CT |
| 01 | — | D339123-141 E MAIN | BEACON HEALTH STRATEGIES | CT |
| 01 | — | PENDING | MHN TRICARENORTH | CT |