Individual
Inactive
Sole proprietor
Provider details
NPI number
Contact information
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2943
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1533
PROFESSIONAL COUNSELOR
NE
01
—
2943
MENTAL HEALTH PRACTIONER
NE
01
—
711
LICENSED INDEDENDENT MENTAL HEALTH PROVIDER
NE
Enumeration date
—
Last updated
—
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