Individual
MARISSA PHILLIPS BURKHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 E 5TH AVE, ROME, GA 30161-3128
(706) 509-0130
Mailing address
4 FUQUA CT NW, ROME, GA 30165-9732
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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