Individual
ANNETTE C MARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S 13TH ST, LINCOLN, NE 68508-3533
(402) 475-5161
Mailing address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(402) 481-5268
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1977
NE
101YM0800X
Mental Health Counselor
Primary
12924
NE
104100000X
Social Worker
—
—
Other
Enumeration date
05/04/2007
Last updated
07/19/2022
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