Individual
DR. MARISSA DAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LIMHP, LPC
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
(402) 418-1061
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2551
—
Other
Enumeration date
04/05/2017
Last updated
12/30/2020
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