Marrissa Marie Petersen

NPI #1952127367 in La Vista, Nebraska

Provider Information

NPI Number: 1952127367
Entity Type: Individual
Name: Marrissa Marie Petersen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Dec 2, 2024
Last Updated: May 22, 2025

Practice Location

Address: 12110 PORT GRACE BLVD STE 101
City: La Vista
State: Nebraska
ZIP Code: 68128-3190
Phone: (402) 325-1290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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