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Individual

SHAH HASAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PLMHP

Contact information

Practice address
139 S 40TH ST, OMAHA, NE 68131-3003
(402) 559-0390
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11850
NE
106H00000X
Marriage & Family Therapist
0717001774
VA
106H00000X
Marriage & Family Therapist
166001348
IL

Other

Enumeration date
05/17/2019
Last updated
04/14/2026
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