Peterson, Marissa Leigh
Peterson, Marissa Leigh is an individual health care provider with primary practice located at 1905 Stadium Blvd , Jefferson City MO 65109. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Peterson, Marissa Leigh can be contacted via phone (888) 403-1071.Contact Information
Primary practice address
1905 Stadium Blvd
Jefferson City MO 65109
Phone: (888) 403-1071
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2007017523 | Missouri |
Profile Details
| NPI number | 1417096587 |
|---|---|
| LBN Legal business name | Peterson, Marissa Leigh |
| Credentials | M.S., LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jun 15th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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