| Doctor Name: | SHERRY MARASSE |
| NPI Number: | 1003157165 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | 68232 |
| Business Practice Address: | 325 S Broadway Ave Tyler, TX - 757027337 |
| Business Phone Number: | 9039208112 |
| Business Fax Number: | |
| Mailing Address: | 11740 County Road 2260, ARP |
| State: | TX |
| Postal Code: | 757504502 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2013 |
| NPI Last Update Date: | 03/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 68232 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |