Individual
SHANE VAN DORIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-5779
Mailing address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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