Marissa Leigh Peterson in Jefferson City - Professional
Marissa Leigh Peterson - NPI 1417096587
Marissa Leigh Peterson is a Professional in Jefferson City, Missouri. Marissa Leigh Peterson practices all healthcare services and medical treatments related to Professional. The NPI Number for Marissa Leigh Peterson is 1417096587. The last update date is 2018-06-15.
Marissa Leigh Peterson's current location address is 1905 Stadium Blvd, Jefferson City, Missouri. You can contact this provider via phone number 8884031071. The mailing address for Marissa Leigh Peterson is 1905 Stadium Blvd, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marissa Leigh Peterson |
|---|---|
| Address | 1905 Stadium Blvd, Jefferson City, Missouri |
| Phone Number | 8884031071 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S., LPC |
NPI Number Detail
| NPI Number | 1417096587 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2018-06-15 |
Provider Mailing Address Detail
| Address | 1905 Stadium Blvd |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 65109 |
| Phone Number | 8884031071 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 2007017523 |
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Definition: A general counselor who helps people with personal, social, educational, and career issues. |
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Post Comment/ Review Below
What is the Marissa Leigh Peterson's unique identification number?
The Marissa Leigh Peterson has been assigned the NPI (National Provider Identifier) Number 1417096587 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Marissa Leigh Peterson is physically located?
The Marissa Leigh Peterson is physically situated at the following address: 1905 Stadium Blvd, Jefferson City, MO, 65109.
What is the Marissa Leigh Peterson's specialty and taxonomy code?
The Marissa Leigh Peterson's specialty is Professional, and the corresponding taxonomy code is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417096587 to Marissa Leigh Peterson?
The Centers for Medicare & Medicaid Services assigned the 1417096587 to Marissa Leigh Peterson on 2007-02-06.
As of what date was the information pertaining to Marissa Leigh Peterson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marissa Leigh Peterson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-06-15.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY