Individual
MS. ANNE MARIE MARQUARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
10824 OLD MILL ROAD, STE 21, OMAHA, NE 68154-2642
(402) 330-6060
(402) 330-6108
Mailing address
10824 OLD MILL ROAD, STE 21, OMAHA, NE 68154-2642
(402) 330-6060
(402) 330-6108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1574
NE
101Y00000X
Counselor
336
NE
101YM0800X
Mental Health Counselor
Primary
336
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11704648
CAQH
NE
05
—
47-077205426
—
NE
01
—
84868
BLUE CROSS BLUE SHIELD
NE
Enumeration date
01/18/2006
Last updated
08/05/2019
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