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Individual

LAURIE NYSTROM PATTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS LIMHP LPC

Contact information

Practice address
1919 S 40TH ST, SUITE 312, LINCOLN, NE 68506-5243
(402) 475-5069
(402) 475-2350
Mailing address
1919 S 40TH ST, SUITE 312, LINCOLN, NE 68506-5243
(402) 475-5069
(402) 475-2350

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1053
NE
101YP2500X
Professional Counselor
333
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025820300
NE
Enumeration date
02/08/2007
Last updated
11/20/2012
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