Individual
NICOLA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
124 W 46TH ST STE 207, KEARNEY, NE 68847-8348
(402) 205-5774
Mailing address
124 W 46TH ST STE 207, KEARNEY, NE 68847-8348
(402) 205-5774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3526
NE
101YP2500X
Professional Counselor
2891
NE
Other
Enumeration date
02/06/2024
Last updated
09/26/2024
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