Individual
PATRICIA ANTIONETTE SPELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLCSW, PLMHP
Contact information
Practice address
5115 F ST, OMAHA, NE 68117-2807
(402) 397-9866
(402) 397-1404
Mailing address
5115 F ST, OMAHA, NE 68117-2807
(402) 397-9866
(402) 397-1404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6399
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47076510700
—
NE
Enumeration date
05/30/2008
Last updated
05/30/2008
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