Individual
STEPHANIE CELESTE PORTWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
3520 N 163RD PLZ STE 6, OMAHA, NE 68116-2109
(402) 513-4416
Mailing address
7731 N 151ST CIR, BENNINGTON, NE 68007-1569
(801) 647-8456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13906
NE
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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