Individual
MS. MICHELE L DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHP, LPC
Contact information
Practice address
7602 PACIFIC ST STE 205, OMAHA, NE 68114-5405
(402) 651-3860
Mailing address
7602 PACIFIC ST STE 205, OMAHA, NE 68114-5405
(402) 651-3860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3703
NE
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025485800
—
NE
Enumeration date
04/23/2007
Last updated
09/12/2023
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