Individual
MRS. MARYSOL CAZARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP, PLADC
Contact information
Practice address
1244 MAIN AVE, CRETE, NE 68333-2260
(402) 937-0281
Mailing address
1244 MAIN AVE, CRETE, NE 68333-2260
(402) 937-0281
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-149712956
NE
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002728500
—
NE
01
—
P-149712956
PLADC, PLMHP
NE
Enumeration date
04/11/2012
Last updated
12/09/2022
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