Individual
MARISSA ANNE SMOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(763) 780-3036
Mailing address
7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432-1860
(763) 780-3036
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC04025
MN
Other
Enumeration date
09/18/2023
Last updated
03/05/2025
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