Individual
MS. LORI L MIMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LPC, LADC
Contact information
Practice address
301 S 70TH ST, STE 319, LINCOLN, NE 68510-2469
(402) 937-0426
Mailing address
301 S 70TH ST, STE 319, LINCOLN, NE 68510-2469
(402) 937-0426
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
891
NE
101YM0800X
Mental Health Counselor
1369
NE
101YM0800X
Mental Health Counselor
3849
NE
101YP2500X
Professional Counselor
Primary
1909
NE
Other
Enumeration date
03/11/2009
Last updated
07/02/2024
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