Individual
MARY ANN SUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHP, CPC
Contact information
Practice address
207 W 2ND ST, POB 744, MCCOOK, NE 69001-3607
(308) 345-4676
(308) 345-4676
Mailing address
207 W 2ND ST, POB 744, MCCOOK, NE 69001-3607
(308) 345-4676
(308) 345-4676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1983
NE
101YP2500X
Professional Counselor
Primary
1138
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47084540826
—
NE
01
—
84722
BC-BS ID NUMBER
NE
Enumeration date
01/04/2007
Last updated
09/11/2025
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