Individual
SAMANTHA HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 BAUMANN DR, GRAND ISLAND, NE 68803-4401
(308) 385-5250
Mailing address
914 BAUMANN DR, GRAND ISLAND, NE 68803-4401
(308) 385-5250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10371
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10371
PROVISIONAL MENTAL HEALTH PRACTITIONER
NE
Enumeration date
09/30/2014
Last updated
09/30/2014
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