Individual
MRS. COLLEEN M STORTVEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, CPC
Contact information
Practice address
333 W NORFOLK AVE, STE 201, NORFOLK, NE 68701-5401
(402) 379-2030
(402) 379-3933
Mailing address
333 W NORFOLK AVE, STE 201, NORFOLK, NE 68701-5401
(402) 379-2030
(402) 379-3933
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2244
NE
101YP2500X
Professional Counselor
1252
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153885000
MAGELLAN
NE
01
—
232039
MIDLANDS CHOICE
NE
05
—
39189435426
—
NE
01
—
84248
BC/BS
NE
Enumeration date
04/20/2006
Last updated
02/19/2024
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