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Individual

MRS. EMELISE DIANE BAUGHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
717 16TH ST., CENTRAL CITY, NE 68826
(308) 380-1925
(308) 986-2374
Mailing address
717 16TH ST., P.O. BOX 24, CENTRAL CITY, NE 68826
(308) 380-1925
(308) 986-2374

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
577
NE
101YM0800X
Mental Health Counselor
2790
NE
101YM0800X
Mental Health Counselor
Primary
LIMHP251
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025842500
NE
Enumeration date
01/09/2007
Last updated
01/24/2023
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