Individual
LAUREN JO EDGECOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP, PCMSW
Contact information
Practice address
2320 N COLORADO AVE, FREMONT, NE 68025-2286
(402) 721-7710
(402) 721-7712
Mailing address
2320 N COLORADO AVE, FREMONT, NE 68025-2286
(402) 721-7710
(402) 721-7712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13076
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
N/A
—
Enumeration date
08/18/2022
Last updated
08/18/2022
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