Individual
SUZANNE MCCOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 S 24TH ST STE 100, OMAHA, NE 68102-1215
(402) 342-7007
(402) 661-7117
Mailing address
124 S 24TH ST STE 230, OMAHA, NE 68102-1226
(402) 978-5644
(402) 591-5075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11656
NE
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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