Individual
LISA MARIE SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7400 MILITARY AVE, OMAHA, NE 68134-3351
(402) 206-4120
(503) 253-7659
Mailing address
PO BOX 4094, OMAHA, NE 68104-0094
(402) 951-3066
(402) 951-3078
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3352
NE
101YP2500X
Professional Counselor
1704
NE
101YP2500X
Professional Counselor
Primary
734
NE
Other
Enumeration date
10/05/2006
Last updated
04/03/2017
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