National Provider Identifier
Marissa Ross
Marissa Ross is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Fairport, NY and a listed phone number of (585) 310-0425.
Profile Overview
- NPI
- 1609240654
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- November 13, 2015
- Last Updated
- March 17, 2016
Practice Location
- 1387 Fairport RD
- Fairport, NY 14450-2003
Phone: (585) 310-0425
Mailing Address
- 1387 Fairport Road
- Building 500
- Fairport, NY 14450
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1609240654
- Entity Type
- Individual
- Last Name
- Ross
- First Name
- Marissa
- Mailing Street Address
- 1387 Fairport Road
- Mailing Address Line 2
- Building 500
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450
- Mailing Country
- US
- Mailing Phone
- (585) 310-0425
- Practice Street Address
- 1387 Fairport RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-2003
- Practice Country
- US
- Practice Phone
- (585) 310-0425
- Enumeration Date
- November 13, 2015
- Last Updated
- March 17, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)