# DR. MARK E STORTVEDT

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

## Provider details

- **NPI number:** 1831155357
- **Gender:** Man
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 1769 | NE | — |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | 1243 | NE | Yes |

## Other

- **Enumeration date:** 04/24/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 39189435426 | — | NE |
| 01 | — | 7893 | MIDLANDS CHOICE | NE |
| 01 | — | 84924 | BC/BS INDIVIDUAL | NE |
| 01 | — | 92015 | BC/BS SUPERVISOR | NE |