Doctor Name: | MARISSA NACCI |
NPI Number: | 1013388867 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 37AC00275600 |
Business Practice Address: | 615 Hope Rd Building 5b, 2nd Floor Eatontown, NJ - 077241277 |
Business Phone Number: | 7323890697 |
Business Fax Number: | |
Mailing Address: | 1202 Knollwood Dr, MIDDLETOWN |
State: | NJ |
Postal Code: | 077482855 |
Phone Number: | 7329773954 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2015 |
NPI Last Update Date: | 10/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 37AC00275600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |