Individual
TIFFANY ELIZABETH MOUSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
830 L ST STE 100, LINCOLN, NE 68508-2205
(765) 490-0929
Mailing address
5300 OLDHAM ST, LINCOLN, NE 68506-1345
(765) 490-0929
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11918
NE
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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