Individual
MARISA NACHELLE RAYFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21100 SOUTHGATE PARK BLVD, MAPLE HEIGHTS, OH 44137-3004
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
E.2505078
OH
390200000X
Student in an Organized Health Care Education/Training Program
8202020
OH
Other
Enumeration date
08/24/2020
Last updated
05/09/2025
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