Individual
AMBER STAR PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
5550 S 59TH ST STE 11, LINCOLN, NE 68516-2398
(531) 289-1005
Mailing address
6564 LAS VERDES LN, LINCOLN, NE 68523-9316
(402) 480-4819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12539
NE
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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