Individual
MARISSA MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 THURBER DR, WATERLOO, NY 13165-1665
(315) 539-1980
Mailing address
31 THURBER DR, WATERLOO, NY 13165-1665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34625
NY
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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