Individual
MR. MICHAEL G KEADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S, LMHP
Contact information
Practice address
610 J ST, SUITE 320, LINCOLN, NE 68508-2967
(402) 435-1313
(402) 435-5056
Mailing address
610 J ST, SUITE 320, LINCOLN, NE 68508-2967
(402) 435-1313
(402) 435-5056
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1140
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47074145326
—
NE
Enumeration date
02/08/2007
Last updated
08/21/2007
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