MARRISSA MARIE PETERSEN

LA VISTA, NE
NPI1952127367
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  P-2244)
Enumeration Date2024-12-02
Last Update Date2025-05-22
Business Address
MARRISSA MARIE PETERSEN
12110 PORT GRACE BLVD STE 101
LA VISTA, NE 68128-3190
Phone number: 402-325-1290
Mailing Address
MARRISSA MARIE PETERSEN
12110 PORT GRACE BLVD STE 101
LA VISTA, NE 68128-3190
Phone number: 402-325-1290
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