Individual
TERA LANE STOKEBRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
942 N 13TH ST, GENEVA, NE 68361-1218
(402) 230-9130
(402) 759-3803
Mailing address
942 N 13TH ST, GENEVA, NE 68361-1218
(402) 230-9130
(402) 759-3803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9746
NE
Other
Enumeration date
10/10/2012
Last updated
02/25/2013
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