Church, Marissa

Church, Marissa is an individual health care provider with primary practice located at 406 Sunrise Ave Ste 310, Roseville CA 95661-4125. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Church, Marissa can be contacted via phone (916) 782-3737.

Contact Information

Primary practice address
406 Sunrise Ave Ste 310 Roseville CA 95661-4125
Phone: (916) 782-3737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1154674257
LBN Legal business name Church, Marissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2012
Last updated Oct 26th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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