Individual
MICHAEL VINCENT STILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LIMHP
Contact information
Practice address
2849 S 163RD PLZ, OMAHA, NE 68130-1809
(712) 314-0834
Mailing address
2849 S 163RD PLZ, OMAHA, NE 68130-1809
(712) 314-0834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2149
NE
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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