Individual
MARISSA VICTORIA MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
111 MAIN ST # 2WA, COLLINSVILLE, CT 06019-3182
(860) 412-4638
Mailing address
24 DOWD AVE, CANTON, CT 06019-2480
(860) 412-4638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
10/30/2023
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