Individual
MR. SUSAN JEANETTE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., PLMHP
Contact information
Practice address
510 D ST, STE. 2, FAIRBURY, NE 68352-2318
(402) 729-6379
(402) 729-4094
Mailing address
510 D ST, STE. 2, FAIRBURY, NE 68352-2318
(402) 729-6379
(402) 729-4094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8395
NE
101YS0200X
School Counselor
2006004717
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8395
DEPT OF HHS-LICENSURE
NE
Enumeration date
08/07/2007
Last updated
08/07/2007
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