Individual provider · Type 1 NPI
Marissa Jean Ivanko
Mental Health Counselor · Mayfield, PA
NPI number
1538088778
Active
Practice location
1300 Old Plank Rd Ste 800
Mayfield, PA 18433-1973
Mailing address
201 Neil Thompson Rd
Lackawaxen, PA 18435-9620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | APC002586 (PA) |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1538088778
Marissa Jean Ivanko's National Provider Identifier is 1538088778, issued on Jul 13, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mayfield, PA. The record was last updated on Jul 13, 2026.