Individual
CHARISSA DAGEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 VICTORY PARK DR, LINCOLN, NE 68510-2484
(402) 489-3802
Mailing address
420 VICTORY PARK DR, LINCOLN, NE 68510-2484
(402) 489-3802
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103T00000X
Psychologist
1205
NE
Other
Enumeration date
04/03/2019
Last updated
10/01/2025
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