Individual
TARA DESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 LEXINGTON CIR, GRAND ISLAND, NE 68803-9728
(308) 675-2858
Mailing address
2719 SUNNY BROOKE RD, GRAND ISLAND, NE 68801-6872
(308) 391-0366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P2333
NE
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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