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Individual

SHANE MEYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LIMHP

Contact information

Practice address
5561 S 48TH ST STE 215A, LINCOLN, NE 68516-4139
(402) 802-2476
Mailing address
5561 S 48TH ST STE 215A, LINCOLN, NE 68516-4139
(402) 802-2476

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10259
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47075636930
NE
Enumeration date
06/04/2014
Last updated
09/13/2023
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