Individual
SHANDA GRACE FUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PLMHP
Contact information
Practice address
770 N COTNER BLVD STE 100, LINCOLN, NE 68505-2344
(402) 948-4702
Mailing address
770 N COTNER BLVD STE 100, LINCOLN, NE 68505-2344
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
14635
NE
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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