Individual
MELINDA MCCUISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
120 E 12TH ST, NORTH PLATTE, NE 69101-2365
(308) 532-0653
Mailing address
7929 W CENTER RD, OMAHA, NE 68124-3104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-2101
NE
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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