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Individual

SCOTT D. WALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.M.H.P.

Contact information

Practice address
237 S 70TH ST, SUITE 108, LINCOLN, NE 68510-2473
(402) 430-6912
Mailing address
237 S 70TH ST, SUITE 108, LINCOLN, NE 68510-2473
(402) 430-6912

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2021
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80003614126
NE
01
8044
MIDLANDS CHOICE
NE
01
84642
BLUE CROSS BLUE SHIELD
NE
Enumeration date
07/20/2006
Last updated
12/01/2016
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