National Provider Identifier

Marissa Rose Kendall

Marissa Rose Kendall is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Niagara Falls, NY and a listed phone number of (716) 505-1060.

NPI 1538941992Niagara Falls, NYMental Health Counselor

Profile Overview

NPI
1538941992
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 19, 2023
Last Updated
October 19, 2023

Practice Location

  • 2400 Pine Ave
  • Niagara Falls, NY 14301-2402

Phone: (716) 505-1060

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1538941992
Entity Type
Individual
Last Name
Kendall
First Name
Marissa
Middle Name
Rose
Mailing Street Address
2400 Pine Ave
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14301-2402
Mailing Country
US
Mailing Phone
(716) 505-1060
Practice Street Address
2400 Pine Ave
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14301-2402
Practice Country
US
Practice Phone
(716) 505-1060
Enumeration Date
October 19, 2023
Last Updated
October 19, 2023
Sex
Female
Sole Proprietor
No
Certification Date
October 19, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)