MARISA ICE

BURBANK, CA
NPI1780009803
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC53913)
Enumeration Date2014-02-26
Last Update Date2014-02-26
Business Address
-- MARISA ICE M.A., LMFT
840 N CALIFORNIA ST
BURBANK, CA 91505-2919
Phone number: 323-677-1963
Mailing Address
-- MARISA ICE M.A., LMFT
840 N CALIFORNIA ST
BURBANK, CA 91505-2919
Phone number: 323-677-1963