Individual
MARISSA BRIANNE CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP, PMSW
Contact information
Practice address
403 LEXINGTON CIR, GRAND ISLAND, NE 68803-9728
(308) 675-2858
Mailing address
403 LEXINGTON CIR, GRAND ISLAND, NE 68803-9728
(308) 675-2858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13579
NE
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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