Individual
MARISSA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
29141 VALLEJO AVE, TEMECULA, CA 92592-2319
(760) 421-2085
Mailing address
1011 BLUEFISH PL, NEW BERN, NC 28562-0400
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
250009416
CA
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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