Individual
SHONA E HEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMHP CSW
Contact information
Practice address
401 W 1ST ST, OGALLALA, NE 69153-2412
(308) 284-6767
(308) 284-3084
Mailing address
401 W 1ST ST, OGALLALA, NE 69153-2412
(308) 284-6767
(308) 284-3084
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
435
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5110
MIDLANDS CHOICE
—
01
—
84091
BCBS DIRECT PROVIDER
—
01
—
97086
BCBS AUXILLIARY PROVIDER
—
Enumeration date
07/07/2006
Last updated
07/08/2007
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