Individual
SHEENA MARIE MIKOLOYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS PSYCHOLOGY
Contact information
Practice address
511 N D ST, FREMONT, NE 68025-5051
(402) 720-6853
(402) 727-0779
Mailing address
511 N D ST, FREMONT, NE 68025-5051
(402) 720-6853
(402) 727-0779
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3801
NE
101YM0800X
Mental Health Counselor
Primary
4745
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13808662
CAQH
NE
05
—
600931841
—
NE
Enumeration date
05/23/2007
Last updated
11/19/2024
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