Individual
DR. CODY STONEWALL HOLLIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2111 W MULBERRY ST, LINCOLN, NE 68522-1421
(402) 438-5330
Mailing address
2111 W MULBERRY ST, LINCOLN, NE 68522-1421
(402) 438-5330
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
115
NE
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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