Individual
MR. MARTIN A. RISSE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
101 E MAIN ST, SUITE 2100, FESTUS, MO 63028-1904
(636) 933-4870
(636) 933-4875
Mailing address
101 E MAIN ST, SUITE 2100, FESTUS, MO 63028-1904
(636) 933-4870
(636) 933-4875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2005038598
MO
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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