Individual
MS. LISE ANNE ZLOMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, CPC, LPC
Contact information
Practice address
100 EAST 5TH STREET; SUITE 203, NORTH PLATTE, NE 69101-3924
(308) 532-2335
(308) 532-4806
Mailing address
PO BOX 2078, 100 EAST 5TH STREET; SUITE 203, NORTH PLATTE, NE 69101-3924
(308) 532-2335
(308) 532-4806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
447
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025317500
—
NE
Enumeration date
12/04/2006
Last updated
07/21/2011
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