Individual
MICHELE YVONNE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.ED.
Contact information
Practice address
2210 W LAGUNA RD, LINCOLN, NE 68522-1153
(402) 525-0733
Mailing address
2210 W LAGUNA RD, LINCOLN, NE 68522-1153
(402) 525-0733
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
407
NE
101YM0800X
Mental Health Counselor
1681
NE
101YP2500X
Professional Counselor
1017
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025441800
—
NE
01
—
85542
BLUE CROSS BLUE SHIELD
NE
Enumeration date
11/13/2006
Last updated
09/11/2025
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