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Organization
HEARTHSTONE COUNSELING LLC
Active
Organization
HEARTHSTONE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISSA A FYE PHD, PLMHP, NCC, BCT (COUNSELOR/ ASSISTANT PROFESSOR)
(402) 418-1061
Entity
Organization
Contact information
Practice address
3710 CENTRAL AVE STE 4, KEARNEY, NE 68847-8126
(402) 418-1061
Mailing address
3710 CENTRAL AVE STE 4, KEARNEY, NE 68847-8126
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497288617
—
NE
Enumeration date
08/19/2019
Last updated
08/19/2019
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