Individual
MARISSA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8629 BLUEJACKET ST, LENEXA, KS 66214-1604
(913) 677-3553
(913) 677-3282
Mailing address
8629 BLUEJACKET ST, LENEXA, KS 66214-1604
(913) 677-3553
(913) 677-3282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3517
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240930A
—
KS
Enumeration date
02/23/2021
Last updated
02/23/2021
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