Individual
MRS. MARLEEN ELIZABETH EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LIMHP MA
Contact information
Practice address
12728 AUGUSTA AVE, STE 150, OMAHA, NE 68144-3753
(402) 330-1537
(402) 330-9331
Mailing address
12728 AUGUSTA AVE, STE 150, OMAHA, NE 68144-3753
(402) 330-1537
(402) 330-9331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
412
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022480
VALUE OPTIONS
—
01
—
120644000
MAGELLAN
—
05
—
470789060
—
NE
01
—
85069
BCBS OF NE
NE
Enumeration date
04/12/2006
Last updated
08/18/2023
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