Individual
MARISSA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
11860 VISTA DEL SOL, STE 104, EL PASO, TX 79936-5613
(915) 777-6072
Mailing address
9425 CONEJO LN, EL PASO, TX 79907-5613
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
TX
251B00000X
Case Management Agency
—
—
Other
Enumeration date
11/03/2021
Last updated
03/07/2026
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