# SISU COUNSELING PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780218685
- **Authorized official:** KRISTEN ELAINE SKAVDAHL PLMHP, PCMSW (SOCIAL WORKER, CLINICAL)
- **Authorized official phone:** (308) 665-5031

## Contact information

- **Practice address:** 40099 4TH AVE, MITCHELL, NE 69357-3529
- **Practice address phone:** (308) 665-5031
- **Mailing address:** 40099 4TH AVE, MITCHELL, NE 69357-3529
- **Mailing address phone:** (308) 665-5031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2020
- **Last updated:** 10/13/2023