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Individual

DEIDRE HOLLISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW, LIMHP, LMHP

Contact information

Practice address
3710 CENTRAL AVE STE 4, KEARNEY, NE 68847-8126
(402) 796-1717
(844) 909-4769
Mailing address
3710 CENTRAL AVE STE 4, KEARNEY, NE 68847-8126
(402) 796-1717
(844) 909-4769

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3131
NE
101YM0800X
Mental Health Counselor
5248
NE
1041C0700X
Clinical Social Worker
1803
NE

Other

Enumeration date
01/13/2020
Last updated
07/31/2023
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