Individual
DIANA M MEADORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
540 S 205TH ST, ELKHORN, NE 68022-2141
(402) 601-1362
Mailing address
540 S 205TH ST, ELKHORN, NE 68022-2141
(402) 601-1362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
809
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
960
NE
101YM0800X
Mental Health Counselor
7780
NE
101YM0800X
Mental Health Counselor
809
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024992300
—
NE
Enumeration date
06/24/2006
Last updated
05/17/2021
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