Individual
MARY ANDAHL MANTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4940 O ST, LINCOLN, NE 68510-1957
(402) 880-0420
Mailing address
6032 PINE ST, OMAHA, NE 68106-2118
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13148
NE
101YM0800X
Mental Health Counselor
Primary
6483
NE
Other
Enumeration date
01/09/2018
Last updated
06/16/2026
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