Individual
MARISSA LUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
(612) 871-1485
(612) 871-1505
Mailing address
600 N 5TH ST STE 408, MINNEAPOLIS, MN 55401-1357
(262) 825-8987
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5392
MN
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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