Individual provider · Type 1 NPI

Marrissa Vance

Mental Health Counselor · Lake Elsinore, CA

NPI number 1942737515 Active

Practice location

265 San Jacinto River Rd Ste 107
Lake Elsinore, CA 92530-4400

Fax (951) 674-9635

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942737515

Marrissa Vance's National Provider Identifier is 1942737515, issued on May 15, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Elsinore, CA. The record was last updated on May 15, 2017.