Individual
LAURIE ST. PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11717 BURT ST STE 101, OMAHA, NE 68154-1500
(402) 659-0943
Mailing address
18728 W ST, OMAHA, NE 68135-4168
(402) 659-0943
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P1929
NE
101YM0800X
Mental Health Counselor
Primary
3492
NE
101YP2500X
Professional Counselor
3492
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3492
LICENSE (LIMHP)
NE
Enumeration date
02/07/2022
Last updated
07/01/2024
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