MARIAH LILLIAN DESERISY MA NPI 1174040349

NPI Information

Mariah Lillian Deserisy, MA is a counselor in Boys Town, NE. The provider is 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. Mariah Lillian Deserisy, MA NPI is 1174040349. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13460 WALSH DR
BOYS TOWN, NE
ZIP 68010-529
Phone: (531) 355-3358
Fax: (531) 355-3375

The enumeration date for this NPI number is 8/28/2017 and was last updated on 5/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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