Individual
LISA BLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
914 BAUMANN DR, GRAND ISLAND, NE 68803-4401
(308) 385-5250
Mailing address
914 BAUMANN DR, GRAND ISLAND, NE 68803-4401
(308) 385-5250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13831
NE
1041C0700X
Clinical Social Worker
8005
NE
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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