Individual
MARISSA SHOVELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE BLDG F, CERES, CA 95307-4562
(209) 534-3914
Mailing address
1904 RICHLAND AVE BLDG F, CERES, CA 95307-4562
(209) 534-3914
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/04/2021
Last updated
05/13/2025
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