Macho Gagner, Marisa Ray

Macho Gagner, Marisa Ray is an individual health care provider with primary practice located at 603 Bruce St , Crookston MN 56716-2914. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Macho Gagner, Marisa Ray can be contacted via phone (218) 281-3940.

Contact Information

Primary practice address
603 Bruce St Crookston MN 56716-2914
Phone: (218) 281-3940
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4108 Minnesota

Profile Details

NPI number 1225253594
LBN Legal business name Macho Gagner, Marisa Ray
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Aug 5th, 2026 - about 2 months 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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