Individual
LISA MARIE OSTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LIMHP
Contact information
Practice address
3350 10TH ST, GERING, NE 69341-1724
(308) 635-3089
Mailing address
2901 PRIMROSE DR, SCOTTSBLUFF, NE 69361-1437
(308) 641-8368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3835
NE
101YP2500X
Professional Counselor
1567
WY
101YP2500X
Professional Counselor
2980
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013197094
NPI ORGANIZATION #
NE
Enumeration date
02/26/2007
Last updated
02/11/2025
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