Individual
MARISSA L PHEGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11 S DIVISION ST STE A, BONNE TERRE, MO 63628-1701
(573) 723-1100
(573) 723-1130
Mailing address
1365 RUE RIVIERA, BONNE TERRE, MO 63628-9282
(573) 631-1142
(573) 723-1130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2023000808
MO
101YP2500X
Professional Counselor
2023000808
MO
101YP2500X
Professional Counselor
Primary
2025027355
MO
Other
Enumeration date
01/04/2023
Last updated
07/23/2025
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