Individual
MS. MARISSA LEIGH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
1905 STADIUM BLVD, JEFFERSON CITY, MO 65109
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007017523
MO
Other
Enumeration date
02/06/2007
Last updated
06/15/2018
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