Individual
MARY P. DOSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, LPC
Contact information
Practice address
9239 W CENTER RD, SUITE # 207, OMAHA, NE 68124-1900
(402) 354-8000
Mailing address
2637 N 160TH AVE, OMAHA, NE 68116-2065
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
174
NE
101Y00000X
Counselor
511
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174
LPC LICENSE
NE
01
—
511
LMHP LICENSE
NE
Enumeration date
03/27/2007
Last updated
07/08/2007
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