Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marrissa Marie Petersen

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1952127367

Marrissa Marie Petersen is an Addiction (Substance Use Disorder) Counselor in LA Vista, Nebraska. Licensed in Nebraska. Registered with an NPI since 2024.

Licensed in
NE
In the registry since
2024

Practice location Address checks out

12110 Port Grace Blvd Ste 101
LA Vista, NE 68128-3190
Phone: (402) 325-1290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence P-2244 (NE)

Record details

NPI number1952127367
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 2, 2024
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing address12110 Port Grace Blvd Ste 101, La Vista, NE 68128-3190

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