Individual
PHILLIP ANTHONY SUESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
307 CONRAD ST, RUSHVILLE, NE 69360-6503
(402) 804-3377
Mailing address
3182 TABLE RD, HAY SPRINGS, NE 69347-3112
(308) 360-3606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12044
NE
Other
Enumeration date
12/05/2019
Last updated
01/15/2020
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