Individual
MARY L. MASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHP
Contact information
Practice address
11414 W CENTER RD, SUITE 233, OMAHA, NE 68144-4486
(402) 502-5030
(402) 502-9538
Mailing address
11414 W CENTER RD, SUITE 233, OMAHA, NE 68144-4486
(402) 502-5030
(402) 502-9538
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3502
NE
101Y00000X
Counselor
7444
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3502
LMHP
NE
01
—
7444
PLMHP LICENSE
NE
Enumeration date
03/26/2007
Last updated
03/18/2010
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