Individual
MICKEY LYNN SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2823 N 81ST ST, OMAHA, NE 68134-6411
(402) 609-2778
Mailing address
2823 N 81ST ST, OMAHA, NE 68134-6411
(402) 609-2778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1843
NE
Other
Enumeration date
05/18/2021
Last updated
10/04/2022
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