Marissa Rae Abbott, LPC
Counselor, Professional in Jefferson City, MO. Individual provider (NPI-1).
NPI number1780163436
StatusActive
Last updated in NPPESJun 11, 2020
Details
- NPI
- 1780163436
- Entity type
- Individual (NPI-1)
- Name
- Marissa Rae Abbott
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2018
- Certification date
- Jun 11, 2020
- Last updated
- Jun 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 2013026604 | MO | Yes |
Other names
- Marissa Rae Bond (Former Name)
Practice location
1905 Stadium BlvdJefferson City, MO 65109-1961
Phone 888-403-1071
Mailing address
1800 CommunityClinton, MO 64735-8804
Phone 660-885-8131
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