Individual
ELISHA SUTTLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
6659 SORENSEN PKWY, OMAHA, NE 68152-2139
(402) 502-9788
Mailing address
3127 MAPLEWOOD BLVD APT 28, OMAHA, NE 68134-5438
(402) 594-8069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12996
NE
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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