Individual
SHAWN KIMBERLY MEDRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS PLMHP
Contact information
Practice address
2532 S 152ND AVENUE CIR, OMAHA, NE 68144-1912
(402) 706-0731
(402) 933-3278
Mailing address
2532 S 152ND AVENUE CIR, OMAHA, NE 68144-1912
(402) 706-0731
(402) 933-3278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7354
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025421500
—
NE
Enumeration date
02/28/2007
Last updated
07/08/2007
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