Individual
AMANDA MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 VALLEY RD STE 350, LINCOLN, NE 68510-4844
(402) 474-0011
Mailing address
815 K ST, LINCOLN, NE 68508-2960
(402) 474-0011
(402) 474-0012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1312
NE
101YM0800X
Mental Health Counselor
Primary
1959
NE
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/10/2015
Last updated
06/18/2021
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