DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARISA GLISAN IMF

MEDICARE: MARISA GLISAN IMF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistIMF88350CA

General Provider Information

NPI Number : 1801265954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISA GLISAN IMF
Provider Business Mailing Address
First Line : 1963 4TH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2394
Country : US
Telephone Number : 619-233-3432
Fax Number :
Provider Business Practice Location Address
First Line : 1963 4TH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2394
Country : US
Telephone Number : 619-233-3432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2015
Last Update Date : 05/27/2026

Similar Medicare Providers

1083353957 — JACQUELYN ALEXIS RAMOS
Practice Location Address:
1963 4TH AVE
SAN DIEGO, CA
92101-2394
Practice Phone: 619-233-3432
Practice Fax:
1144267642 — DARLENE MCMIDDLETON NP
Practice Location Address:
1963 4TH AVE
SAN DIEGO, CA
92101-2394
Practice Phone: 619-275-0822
Practice Fax: 619-275-5069
1639244874 — HEATHER YVETTE MARTIN JR.
Practice Location Address:
1963 4TH AVE
SAN DIEGO, CA
92101-2394
Practice Phone: 619-233-3432
Practice Fax: 619-233-7022
1689792533 — COMMUNITY RESEARCH FOUNDATION INC
Practice Location Address:
1963 4TH AVE
SAN DIEGO, CA
92101-2394
Practice Phone: 619-233-3432
Practice Fax: 619-233-7022
1174748800 — RACHEL HAMELL
Practice Location Address:
1963 4TH AVE
SAN DIEGO, CA
92101-2394
Practice Phone: 619-233-3432
Practice Fax:
1396930939 — SHEILA JENNIFER MARIN
Practice Location Address:
1963 4TH AVE
SAN DIEGO, CA
92101-2394
Practice Phone: 619-233-3432
Practice Fax:

Directions to “ MARISA GLISAN IMF” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.