Individual
MELISSA DAWN PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LMHP
Contact information
Practice address
302 SO 16TH STREET, OFFICE B, AURORA, NE 68818-3000
(402) 694-6004
(402) 694-6004
Mailing address
302 SO 16TH STREET, OFFICE B, AURORA, NE 68818-3000
(402) 694-6004
(402) 694-6004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1853
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33102637326
—
NE
01
—
84312
BCBS
NE
Enumeration date
09/02/2006
Last updated
07/08/2007
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