Individual
MELISSA RENEE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LIMHP, LPC
Contact information
Practice address
12035 Q ST, OMAHA, NE 68137-3542
(402) 991-0611
(402) 991-6228
Mailing address
1602 EUCLID ST, ASHLAND, NE 68003-1246
(402) 968-7352
(402) 944-2867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1897
NE
101YM0800X
Mental Health Counselor
Primary
3447
NE
101YM0800X
Mental Health Counselor
3819
NE
Other
Enumeration date
01/16/2007
Last updated
11/27/2023
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