Individual
NICHOLE SHADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 U ST, LINCOLN, NE 68588-1281
(402) 472-5000
(402) 472-8010
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-6195
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10622
NE
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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