Organization
MARISSA R ABBOTT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA RAE ABBOTT LPC (LICENSED PROFESSIONAL COUNSELOR)
(573) 286-5023
Entity
Organization
Contact information
Practice address
919 WILDWOOD DR, SUITE 104, JEFFERSON CITY, MO 65109-5798
(573) 635-9654
(573) 635-4466
Mailing address
722 HOBBS RD, JEFFERSON CITY, MO 65109-6819
(573) 286-5023
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/15/2015
Last updated
04/21/2016
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