Individual
JOAN STAHLY-ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP, LPC
Contact information
Practice address
4535 NORMAL BLVD, SUITE 142, LINCOLN, NE 68506-2891
(402) 560-1413
(402) 261-8263
Mailing address
4535 NORMAL BLVD, SUITE 142, LINCOLN, NE 68506-2891
(402) 560-1413
(402) 261-8263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2460
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238325
MIDLAND CHOICE
NE
01
—
337684
VALUEOPTIONS
NE
01
—
84234
BLUECROSS, BLUESHIELD
NE
Enumeration date
10/23/2006
Last updated
05/24/2011
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