MARISSA R ABBOTT NPI 1093170219

NPI Information

MARISSA R ABBOTT is a professional counselor in Jefferson City, MO. MARISSA R ABBOTT NPI is 1093170219. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

919 WILDWOOD DR
SUITE 104
JEFFERSON CITY, MO
ZIP 65109-798
Phone: (573) 635-9654
Fax: (573) 635-4466

The provider's authorized official is Marissa Rae Abbott .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (573) 286-5023.

The enumeration date for this NPI number is 12/15/2015 and was last updated on 4/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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