Individual provider · Type 1 NPI

Marissa Ealy

Professional Counselor · Wylie, TX

NPI number 1629773262 Active

Practice location

303 S Highway 78 Ste 100
Wylie, TX 75098-3957

Mailing address

2625 Hackberry Crk
Mesquite, TX 75181-1295

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X91376 (TX)

Professional Counselor: Definition to come...

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About NPI 1629773262

Marissa Ealy's National Provider Identifier is 1629773262, issued on Apr 3, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wylie, TX. The record was last updated on Apr 3, 2023.