Individual
MS. CHERYL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, LMSW
Contact information
Practice address
4701 VAN DORN STREET, SUITE A, LINCOLN, NE 68506-2507
(402) 434-2550
(402) 434-2358
Mailing address
4701 VAN DORN STREET, SUITE A, LINCOLN, NE 68506-2507
(402) 434-2550
(402) 434-2358
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2293
NE
1041C0700X
Clinical Social Worker
Primary
1017
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470679284-13
—
NE
01
—
NA1909001
MEDICARE PTAN
NE
Enumeration date
04/26/2007
Last updated
03/26/2013
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