Provider Demographics
NPI:1427862192
Name:ZAMBRANO, MARISSA ALEIDA (CSC, NCC)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:ALEIDA
Last Name:ZAMBRANO
Suffix:
Gender:F
Credentials:CSC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 W CHELO DR
Mailing Address - Street 2:
Mailing Address - City:LA FERIA
Mailing Address - State:TX
Mailing Address - Zip Code:78559-3612
Mailing Address - Country:US
Mailing Address - Phone:956-564-9420
Mailing Address - Fax:
Practice Address - Street 1:401 W CHELO DR
Practice Address - Street 2:
Practice Address - City:LA FERIA
Practice Address - State:TX
Practice Address - Zip Code:78559-3612
Practice Address - Country:US
Practice Address - Phone:956-564-9420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97151101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor