Doctor Name: | MISS MELISSA CHEREE MARRS |
NPI Number: | 1285828285 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | L3330 |
Business Practice Address: | 318 E Fallbrook St Apartment 4 Fallbrook, CA - 920283363 |
Business Phone Number: | 5037017378 |
Business Fax Number: | |
Mailing Address: | 318 E Fallbrook St, Apartment 4 FALLBROOK |
State: | CA |
Postal Code: | 920283363 |
Phone Number: | 5037017378 |
Fax Number: | |
NPI Enumeration Date: | 09/02/2007 |
NPI Last Update Date: | 12/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | L3330 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |