Provider Demographics
NPI:1215518998
Name:STELZER, MARISSA JOELLE (LPCC)
Entity type:Individual
Prefix:MRS
First Name:MARISSA
Middle Name:JOELLE
Last Name:STELZER
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:MS
Other - First Name:MARISSA
Other - Middle Name:JOELLE
Other - Last Name:HOLST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:4603 CANVASBACK ST
Mailing Address - Street 2:
Mailing Address - City:BIG LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55309-8217
Mailing Address - Country:US
Mailing Address - Phone:651-338-2771
Mailing Address - Fax:
Practice Address - Street 1:2700 SNELLING AVE N STE 400
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-1783
Practice Address - Country:US
Practice Address - Phone:763-525-1746
Practice Address - Fax:763-486-4439
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2803101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health