Marissa Andrade
Marissa Andrade is a Mental Health Counselor in Salt Lake City, Utah. Qualified in 2018, 8 years ago. Licensed in Utah.
- Years since qualifying
- 8
- Licensed in
- UT
- In the registry since
- 2018
Practice location Address checks out
150 E 700 SSalt Lake City, UT 84111-3806
Phone: (801) 574-1073
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 110415796009 (UT) |
|---|
Record details
| NPI number | 1346712577 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 28, 2018 |
| Last updated in NPPES | December 28, 2018 |
| Mailing address | 1027 E Olympus Ridge Cv Apt G106, Salt Lake City, UT 84117-5694 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
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