Individual
STEPHANIE JEAN MCNICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PLMHP, PLDAC
Contact information
Practice address
770 N COTNER BLVD STE 116, LINCOLN, NE 68505-2344
(402) 236-8568
Mailing address
2636 WOODSDALE BLVD, LINCOLN, NE 68502-5044
(402) 440-6496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1345
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1318
NE
101YM0800X
Mental Health Counselor
10548
NE
101YM0800X
Mental Health Counselor
Primary
2368
NE
Other
Enumeration date
07/14/2015
Last updated
03/09/2023
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