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Marissa Ealy
Professional Counselor in Wylie, Texas
NPI 1629773262

Marissa Ealy is a Professional Counselor based in Mesquite, TX and is specialized in Professional. Marissa Ealy practices in Wylie, TX. The NPI Number for Marissa Ealy is 1629773262 and holds a License No. 91376 (Texas).

The current practice location address for Marissa Ealy is 303 S Highway 78 Ste 100, Wylie, TX and can be reached out via phone at 469-342-3468.

Location: 303 S Highway 78 Ste 100, Wylie, TX, 75181-1295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629773262
Provider Name
Marissa Ealy
Credential
Provider Entity Type
Individual
Gender
Female
Address
303 S Highway 78 Ste 100, Wylie, TX, 75181-1295
Phone Number
469-342-3468
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
303 S Highway 78 Ste 100
City
Wylie
State
Texas
Zip
75098-3957
Phone Number
469-342-3468
Fax Number
person
Provider Business Mailing Address Details
Address
303 S Highway 78 Ste 100
City
Wylie
State
Texas
Zip
75098-3957
Phone Number
469-342-3468
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
91376 (Texas)
Definition
Definition to come...
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