Individual
MICHELLE ANN WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, CPC
Contact information
Practice address
1600 S 70TH ST STE 200, LINCOLN, NE 68506-1568
(402) 309-4487
(402) 937-8324
Mailing address
12019 S 79TH AVE, PAPILLION, NE 68046-4609
(402) 309-4487
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10823
NE
101YM0800X
Mental Health Counselor
Primary
2394
NE
Other
Enumeration date
04/14/2016
Last updated
05/18/2020
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