Individual
SHANDA M MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 N ELM ST, GRAND ISLAND, NE 68801-4509
(308) 384-2520
(308) 382-7600
Mailing address
312 N ELM ST, GRAND ISLAND, NE 68801-4509
(308) 384-2520
(308) 382-7600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10406
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026370500
—
NE
Enumeration date
01/15/2015
Last updated
01/15/2015
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