Individual
MARISSA DEFEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
354 NE GREENWOOD AVE STE 204, BEND, OR 97701-4632
(541) 699-1083
Mailing address
354 NE GREENWOOD AVE STE 204, BEND, OR 97701-4632
(541) 699-1083
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
100177
CA
106H00000X
Marriage & Family Therapist
Primary
T2124
OR
Other
Enumeration date
10/23/2013
Last updated
05/28/2025
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