Individual
MARISSA HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3413 PAOLI PIKE, FLOYDS KNOBS, IN 47119-9702
(502) 817-1385
Mailing address
2819 ENGLE RD, STARLIGHT, IN 47106-8423
(502) 817-1385
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003549A
IN
Other
Enumeration date
01/03/2013
Last updated
12/13/2020
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