Individual
MS. MARISSA RENEE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 W. GRIGGS AVE., LAS CRUCES, NM 88001
(575) 647-2800
(575) 647-2898
Mailing address
1320 S. SOLANO, LAS CRUCES, NM 88001
(575) 527-7900
(575) 571-4872
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0157361
NM
101YP2500X
Professional Counselor
Primary
CCMH0184501
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
03/06/2014
Last updated
01/22/2025
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