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Individual

DR. MARK E STORTVEDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
333 W NORFOLK AVE, STE 201, NORFOLK, NE 68701-5401
(402) 379-2030
(402) 379-3933
Mailing address
333 W NORFOLK AVE, STE 201, NORFOLK, NE 68701-5401
(402) 379-2030
(402) 379-3933

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1769
NE
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
Primary
1243
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39189435426
NE
01
7893
MIDLANDS CHOICE
NE
01
84924
BC/BS INDIVIDUAL
NE
01
92015
BC/BS SUPERVISOR
NE
Enumeration date
04/24/2006
Last updated
09/11/2025
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