Individual
LAURIE A MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, CPC
Contact information
Practice address
200 NORTH 34TH ST, NORFOLK, NE 68702-2315
(402) 371-3044
(402) 371-9643
Mailing address
PO BOX 2315, 200 NORTH 34TH ST, NORFOLK, NE 68702-2315
(402) 371-3044
(402) 371-9643
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
144
NE
106H00000X
Marriage & Family Therapist
1001
NE
106H00000X
Marriage & Family Therapist
1599
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47083165926
—
NE
05
—
47083165927
—
NE
01
—
84186
BCBS
NE
Enumeration date
07/31/2006
Last updated
10/29/2015
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