Individual
MARISSA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2403 S 133RD PLZ, OMAHA, NE 68144-5905
(402) 620-6652
(402) 620-6654
Mailing address
2403 S 133RD PLZ, OMAHA, NE 68144-5905
(402) 620-6652
(402) 620-6654
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11569
NE
Other
Enumeration date
03/04/2019
Last updated
02/14/2024
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