Individual
MRS. ELISSA RAE MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
221 S 4TH ST STE 101, ELMWOOD, NE 68349-6021
(402) 709-3140
Mailing address
5518 147TH ST, WEEPING WATER, NE 68463-2312
(402) 709-3140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
719
NE
101YP2500X
Professional Counselor
1765
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025930500
—
NE
Enumeration date
11/23/2010
Last updated
09/30/2024
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