Individual
MARISSA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1902 CHERRY ST UNIT C, ERIE, PA 16502-2648
(814) 480-0980
Mailing address
1902 CHERRY ST UNIT C, ERIE, PA 16502-2648
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC019721
PA
251S00000X
Community/Behavioral Health Agency
Primary
C.1801006-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2864093
—
OH
Enumeration date
09/28/2018
Last updated
03/04/2026
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