Individual
MARISSA PAIGE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
352 STATE STREET, NORTH HAVEN, CT 06473-2550
(203) 781-4600
(203) 781-4624
Mailing address
352 STATE STREET, NORTH HAVEN, CT 06473-3108
(203) 781-4624
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1511
CT
101YP2500X
Professional Counselor
8524
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004082286
—
CT
05
—
008022626
—
CT
05
—
008056168
—
CT
05
—
008120650
—
CT
05
—
500000315
—
CT
Enumeration date
12/14/2017
Last updated
12/26/2025
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