Individual
MRS. MARISSA ELIZABETH SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CMHC, PCI
Contact information
Practice address
9140 S STATE ST, SUITE 202, SANDY, UT 84070-2684
(408) 375-3311
(866) 540-1490
Mailing address
4125 N CANYON RD, PROVO, UT 84604-5015
(408) 375-3311
(866) 540-1490
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
8173984-6004
UT
101YA0400X
Addiction (Substance Use Disorder) Counselor
8173984-6004
UT
101YM0800X
Mental Health Counselor
Primary
8173984-6004
UT
101YP2500X
Professional Counselor
8173984-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770721300
—
UT
Enumeration date
04/27/2012
Last updated
04/25/2016
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