Individual
MRS. CAROLE LYNN DENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
207 N PINE ST, STE 106, GRAND ISLAND, NE 68801-5900
(308) 382-8604
(308) 675-1021
Mailing address
114 PONDEROSA DR, GRAND ISLAND, NE 68803-9646
(308) 379-0806
(308) 675-1021
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
404
NE
101YP2500X
Professional Counselor
Primary
288
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025856900
—
NE
Enumeration date
08/02/2005
Last updated
12/03/2013
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