Individual
MARISSA MCKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MRC, CRC, LPC, CRADC
Contact information
Practice address
604 E COLLEGE ST, CARBONDALE, IL 62901-3309
(618) 457-6703
Mailing address
604 E COLLEGE ST, CARBONDALE, IL 62901-3309
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27799
IL
101YM0800X
Mental Health Counselor
178.005891
IL
Other
Enumeration date
06/06/2009
Last updated
06/06/2009
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