Individual provider · Type 1 NPI

Marissa Leigh Peterson, M.S., LPC

Professional Counselor · Jefferson City, MO

NPI number 1417096587 Active

Practice location

1905 Stadium Blvd
Jefferson City, MO 65109

Call (888) 403-1071 Map

Mailing address

1800 Community
Clinton, MO 64735-8804

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2007017523 (MO)

Professional Counselor: Definition to come...

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About NPI 1417096587

Marissa Leigh Peterson, M.S., LPC's National Provider Identifier is 1417096587, issued on Feb 6, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jefferson City, MO. The record was last updated on Jun 15, 2018.