| Marissa R Abbott | |
|
919 Wildwood Dr Suite 104 Jefferson City MO 65109-5798 | |
| (573) 635-9654 | |
| (573) 635-4466 |
| Full Name | Marissa R Abbott |
|---|---|
| Speciality | Counselor - Professional |
| Location | 919 Wildwood Dr, Jefferson City, Missouri |
| Authorized Official Name and Position | Marissa Rae Abbott (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5732865023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa R Abbott 722 Hobbs Rd Jefferson City MO 65109-6819 Ph: (573) 286-5023 | Marissa R Abbott 919 Wildwood Dr Suite 104 Jefferson City MO 65109-5798 Ph: (573) 635-9654 |
| NPI Number | 1093170219 |
|---|---|
| Provider Enumeration Date | 12/15/2015 |
| Last Update Date | 04/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093170219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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