Marissa L Illingworth, CRMPSS
Marissa L Illingworth, CRMPSS is an Addiction (Substance Use Disorder) Counselor in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2023.
- Licensed in
- OR
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
2045 Silverton Rd NESalem, OR 97301-0100
Phone: (503) 576-4660
Fax: (503) 361-2688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 22-CRM--1462 (OR) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence T-23-2885 (OR) |
Record details
| NPI number | 1467152413 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CRMPSS |
| Sole proprietor | No |
| NPI enumerated | March 8, 2023 |
| Last updated in NPPES | July 17, 2024 |
| Certification date | July 17, 2024 |
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