MARRISSA VANCE
NPI 1942737515
Counselor - Mental Health in Lake Elsinore, CA
Active since May 15, 2017
265 SAN JACINTO RIVER RD STE 107, LAKE ELSINORE, CA 92530(951) 674-9243(951) 674-9635 Get Directions Write a Review
About Marrissa Vance NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARRISSA VANCE (NPI 1942737515) is an individual mental health provider in Lake Elsinore, California and active in the NPI registry since May 2017.
NPPES Registry Identity
NPI1942737515
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARRISSA VANCE
Location Address265 SAN JACINTO RIVER RD STE 107Lake Elsinore, CA 92530-4400
Mailing Address265 San Jacinto River Rd Ste 107Lake Elsinore, CA 92530-4400 · (951) 674-9243 · Fax (951) 674-9635
Phone(951) 674-9243
Fax(951) 674-9635
Sole ProprietorYes
Enumeration DateMay 15, 2017
✔ NPI 1942737515 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
265 SAN JACINTO RIVER RD STE 107, Lake Elsinore, CA 92530
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
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.
Counselor (Mental Health)
265 SAN JACINTO RIVER RD STE 107
LAKE ELSINORE, CA 92530
LAKE ELSINORE, CA 92530
Social Worker (Clinical)
265 SAN JACINTO RIVER RD STE 107
LAKE ELSINORE, CA 92530
LAKE ELSINORE, CA 92530
Marriage & Family Therapist
265 SAN JACINTO RIVER RD STE 107
LAKE ELSINORE, CA 92530
LAKE ELSINORE, CA 92530
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942737515, enumerated as an "individual" on May 15, 2017.
The provider is located at 265 SAN JACINTO RIVER RD STE 107 LAKE ELSINORE, CA 92530 and the phone number is (951) 674-9243.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.