Individual
MARISSA MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2555 SILVERTON RD NE, SALEM, OR 97301-0837
(503) 953-0310
(541) 527-4347
Mailing address
7515 FALCON CREST DR # 200, REDMOND, OR 97756-5014
(541) 904-5216
(541) 527-4347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60937839
WA
106H00000X
Marriage & Family Therapist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
WA
Enumeration date
12/31/2018
Last updated
04/17/2025
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