National Provider Identifier
Marisa Marie Gore
Marisa Marie Gore is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 865-1550.
Profile Overview
- NPI
- 1043096100
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- September 05, 2023
- Last Updated
- September 05, 2023
Practice Location
- 3300 Dewey Ave
- Rochester, NY 14616-3741
Phone: (585) 865-1550
Mailing Address
- 155 Canal Landing Blvd Apt 536
- Rochester, NY 14626-5117
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1043096100
- Entity Type
- Individual
- Last Name
- Gore
- First Name
- Marisa
- Middle Name
- Marie
- Mailing Street Address
- 155 Canal Landing Blvd Apt 536
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-5117
- Mailing Country
- US
- Mailing Phone
- (716) 998-6480
- Practice Street Address
- 3300 Dewey Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14616-3741
- Practice Country
- US
- Practice Phone
- (585) 865-1550
- Enumeration Date
- September 05, 2023
- Last Updated
- September 05, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 05, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)