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Individual

MRS. ALLYSON GWENDOLYN NORTHUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS LMHP, LMFT

Contact information

Practice address
2900 S 70TH ST STE 160, LINCOLN, NE 68506-3733
(402) 432-5881
(402) 477-8284
Mailing address
2900 S 70TH ST STE 160, LINCOLN, NE 68506-3733
(402) 432-5881
(402) 477-8284

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1386
NE
101YM0800X
Mental Health Counselor
4218
NE
106H00000X
Marriage & Family Therapist
150
NE

Other

Enumeration date
08/19/2011
Last updated
03/14/2024
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