# MICHELLE DIANE STOLLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043680622
- **Gender:** F
- **Credential:** LCSW, LIMHP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 2204 | NE | — |
| 1041C0700X | Clinical Social Worker | 1744 | NE | Yes |

## Other

- **Enumeration date:** 09/25/2015
- **Last updated:** 11/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025173100 | — | NE |
| 05 | — | 10026194400 | — | NE |