Individual
SUSAN L. BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8303 DODGE ST., MECC SUITE 301, OMAHA, NE 68114-4255
(402) 354-8350
Mailing address
8303 DODGE ST., MECC SUITE 301, OMAHA, NE 68114-4255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
03940
IA
101Y00000X
Counselor
1109
NE
101Y00000X
Counselor
Primary
1899
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03940
LMSW LICENSE
NE
01
—
1109
CPC LICENSE
NE
01
—
1899
LMHP LICENSE
NE
Enumeration date
03/26/2007
Last updated
08/23/2023
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