Individual
MARISSA LYNN EBELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1555 NE RICE RD STE C, LEES SUMMIT, MO 64086-5810
(816) 965-1624
Mailing address
1301 E 98TH TER, KANSAS CITY, MO 64131-3211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2018029619
MO
101YP2500X
Professional Counselor
3183
KS
Other
Enumeration date
08/13/2018
Last updated
06/29/2021
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