MARISA LEE DICKFOSS
NPI 1508026790
Counselor - Mental Health in Carmichael, CA
Active since June 11, 2008
About Marisa Lee Dickfoss NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISA LEE DICKFOSS (NPI 1508026790) is an individual mental health provider in Carmichael, California and active in the NPI registry since June 2008.
NPPES Registry Identity
NPI1508026790
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARISA LEE DICKFOSS
Location Address5030 EL CAMINO AVECarmichael, CA 95608-4650
Mailing Address5030 El Camino AveCarmichael, CA 95608-4650 · (916) 609-5100 · Fax (916) 609-5160
Phone(916) 609-5100
Fax(916) 609-5160
Sole ProprietorNo
Enumeration DateJune 11, 2008
✔ NPI 1508026790 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5030 EL CAMINO AVE, Carmichael, CA 95608
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Social Worker (Clinical)
5030 EL CAMINO AVE
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5030 EL CAMINO AVE
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508026790, enumerated as an "individual" on June 11, 2008.
The provider is located at 5030 EL CAMINO AVE CARMICHAEL, CA 95608 and the phone number is (916) 609-5100.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.