Individual
MICHELLE J POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LADC
Contact information
Practice address
9374 N ST, OMAHA, NE 68127-2307
(402) 669-7202
Mailing address
9374 N ST, OMAHA, NE 68127-2307
(402) 669-6204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
992
NE
101YM0800X
Mental Health Counselor
Primary
871
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
871
STATE OF NEBRASKA
NE
01
—
992
STATE OF NEBRASKA
NE
Enumeration date
01/03/2008
Last updated
11/20/2012
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