Search › Idaho › 104100000X
Marissa Carlson, LCSW
NPI 1124631171 · on the registry since 2020 · sole proprietor
Practice
- Address
- 201 N 8th St Ste 4
Saint Maries, ID 83861 - Phone
- (208) 597-7639
- Fax
- (208) 717-9450
- Organisation at this address
- Saint Maries Counseling Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 13498 E Lay Ln, Medimont, ID
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 104100000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho