Individual
MARISSA COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
901 CORRECTION WAY, JARRATT, VA 23870-9998
(434) 602-3241
Mailing address
901 CORRECTION WAY, JARRATT, VA 23870-9998
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005358
VA
101YP2500X
Professional Counselor
PC012135
PA
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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