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Individual
MARISSA DANIELLE ALEXANDER-BIRD
Active
Individual
MARISSA DANIELLE ALEXANDER-BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP61230883, CG611770
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP61230883
WA
101YM0800X
Mental Health Counselor
Primary
MC61654601
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2256226
—
WA
Enumeration date
05/11/2020
Last updated
04/24/2025
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