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Organization
THERAPEUTIC PLAY AND COUNSELING
Active
Organization
THERAPEUTIC PLAY AND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA L STOLTZ LMHP,LPC (OWNER)
(402) 371-9606
Entity
Organization
Contact information
Practice address
1310 N 13TH ST, SUITE 4, NORFOLK, NE 68701-2592
(402) 371-9606
Mailing address
1310 N 13TH ST, SUITE 4, NORFOLK, NE 68701-2592
(402) 371-9606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3613, 1809
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002554100
—
NE
Enumeration date
12/09/2016
Last updated
12/09/2016
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