Individual provider · Type 1 NPI

Marissa Ross

Mental Health Counselor · Fairport, NY

NPI number 1609240654 Active

Practice location

1387 Fairport Rd
Fairport, NY 14450-2003

Call (585) 310-0425 Map

Mailing address

1387 Fairport Road, Building 500
Fairport, NY 14450

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X006179 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1609240654

Marissa Ross's National Provider Identifier is 1609240654, issued on Nov 13, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairport, NY. The record was last updated on Mar 17, 2016.