Individual
TERRY LOU FISHER-EDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
2027 10TH ST, GERING, NE 69361-2417
(308) 632-4200
(308) 632-4205
Mailing address
2027 10TH ST, GERING, NE 69341-2417
(308) 632-4200
(308) 632-4205
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2977
NE
101YP2500X
Professional Counselor
1541
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025752900
—
NE
01
—
249280
MIDLANDS CHOICE
NE
01
—
84466
BCBS
NE
Enumeration date
10/19/2006
Last updated
06/19/2012
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