Individual
MARISSA M HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1155 NORTHLAND DR, MENDOTA HEIGHTS, MN 55120-1288
(612) 223-8998
Mailing address
11837 LOWER 31ST ST N, LAKE ELMO, MN 55042-4472
(507) 304-2370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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