Individual
MARISSA BADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3705 N 153RD ST, BASEHOR, KS 66007-9258
(308) 262-5891
Mailing address
3705 N 153RD ST, BASEHOR, KS 66007-9258
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
04944
KS
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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