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Mariah Lillian Deserisy, MA
Counselor in Boys Town, Nebraska
NPI 1174040349

Mariah Lillian Deserisy is a Counselor based in Boys Town, NE. Mariah Lillian Deserisy practices in Boys Town, NE and has the professional credentials of MA. The NPI Number for Mariah Lillian Deserisy is 1174040349 and holds a License No. 12164 (Nebraska).

The current practice location address for Mariah Lillian Deserisy is 13460 Walsh Dr, Boys Town, NE and can be reached out via phone at 531-355-3358 and via fax at 531-355-3375.

Location: 13460 Walsh Dr, Boys Town, NE, 68010-7529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174040349
Provider Name
Mariah Lillian Deserisy
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
13460 Walsh Dr, Boys Town, NE, 68010-7529
Phone Number
531-355-3358
Fax Number
531-355-3375
Provider Enumeration Date
08/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13460 Walsh Dr
City
Boys Town
State
Nebraska
Zip
68010-7529
Phone Number
531-355-3358
Fax Number
531-355-3375
person
Provider Business Mailing Address Details
Address
13460 Walsh Dr
City
Boys Town
State
Nebraska
Zip
68010-7529
Phone Number
531-355-3358
Fax Number
531-355-3375
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
12164 (Nebraska)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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