Individual
MR. MICHAEL DALE PELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHP
Contact information
Practice address
3600 VILLAGE DRIVE SUITE 110, LINCOLN, NE 68516-6631
(402) 875-9270
(402) 875-9272
Mailing address
5900 S 59TH ST, STE 104, LINCOLN, NE 68516
(402) 435-0557
(402) 483-6306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2075
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024982600
—
NE
05
—
47084125026
—
NE
01
—
82592
BCBS
NE
Enumeration date
07/13/2007
Last updated
02/15/2012
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