Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Mills

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1780512582

Marissa Mills is an Addiction (Substance Use Disorder) Counselor in Waterloo, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

31 Thurber Dr
Waterloo, NY 13165-1665
Phone: (315) 539-1980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 34625 (NY)

Record details

NPI number1780512582
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateApril 28, 2026
Mailing address31 Thurber Dr, Waterloo, NY 13165-1665

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