# MARY ANN SUDA

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

## Provider details

- **NPI number:** 1073660650
- **Gender:** F
- **Credential:** MA, LMHP, CPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 1983 | NE | — |
| 101YP2500X | Professional Counselor | 1138 | NE | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 47084540826 | — | NE |
| 01 | — | 84722 | BC-BS ID NUMBER | NE |