MARISSA ANN WIDENER

PHOENIX, AZ
NPI1104525880
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LPC-24585)
Enumeration Date2023-03-01
Last Update Date2026-01-30
Business Address
MARISSA ANN WIDENER MC, LAC
2211 E HIGHLAND AVE STE 205
PHOENIX, AZ 85016-4834
Phone number: 888-661-2742
Mailing Address
MARISSA ANN WIDENER MC, LAC
1 N LA SALLE ST STE 1450
CHICAGO, IL 60602-4351
Phone number: 312-578-9990
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