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Organization

ALLIANCE COUNSELING CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSAN DIANE NELSEN MS, LMHP, CPC, NCC (PARTNER)
(402) 965-4004
Entity
Organization

Contact information

Practice address
11920 BURT ST, SUITE # 190, OMAHA, NE 68154-1598
(402) 965-4004
Mailing address
11920 BURT ST, SUITE # 190, OMAHA, NE 68154-1598
(402) 965-4004

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1461
NE
101YM0800X
Mental Health Counselor
1546
NE
101YM0800X
Mental Health Counselor
1695
NE
101YM0800X
Mental Health Counselor
Primary
633
NE
103T00000X
Psychologist
283
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100253006-00
NE
Enumeration date
11/12/2007
Last updated
11/12/2007
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