Individual
SHANNON HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
1301 CENTENNIAL AVE, UTICA, NE 68456-6168
(402) 534-2321
(402) 534-2291
Mailing address
PO BOX 187, UTICA, NE 68456-0187
(402) 534-2321
(402) 534-2291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2615
NE
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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