Individual
MARISSA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT-A
Contact information
Practice address
5802 TEXAS AVE, ABILENE, TX 79605-5315
(325) 676-7107
Mailing address
5802 TEXAS AVE, ABILENE, TX 79605-5315
(325) 676-7107
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202844
TX
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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