Individual
MARISSA RENELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC, MTL
Contact information
Practice address
4033 E MADISON ST STE 108, SEATTLE, WA 98112-3104
(206) 438-4068
Mailing address
2506 WETMORE AVE APT A, EVERETT, WA 98201-2920
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
MU61651326
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14090
CERTIFICATION BOARD FOR MUSIC THERAPISTS
—
01
—
MU61651326
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
04/25/2025
Last updated
04/25/2025
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