Individual
MARISSA DANIELLE PELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 F ST, GENEVA, NE 68361-2229
(402) 759-3192
Mailing address
PO BOX 193, GENEVA, NE 68361-0193
(402) 759-3192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12546
NE
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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