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Organization

CAROL COUNTRYMAN N., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL COUNTRYMAN NUNNALLY LCSW, LIMHP (OWNER)
(402) 429-5365
Entity
Organization

Contact information

Practice address
2231 N 57TH ST, LINCOLN, NE 68505-1110
(402) 429-5365
Mailing address
2231 N 57TH ST, LINCOLN, NE 68505-1110
(402) 429-5365

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025851300
NE
Enumeration date
04/23/2010
Last updated
09/26/2024
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