Individual
ROXANA VASILICA MUILENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
5801 N 295TH CIR, VALLEY, NE 68064-7444
(402) 739-5121
Mailing address
5801 N 295TH CIR, VALLEY, NE 68064-7444
(402) 739-5121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4380
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4380
LICENSED MENTAL HEALTH PRACTITIONER
NE
Enumeration date
12/10/2021
Last updated
12/10/2021
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