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Individual

MS. STEPHENIE LYNN BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS LIMHP LADC

Contact information

Practice address
2124 N LAFAYETTE AVE, GRAND ISLAND, NE 68803-2048
(083) 384-2265
(308) 384-2243
Mailing address
2124 N LAFAYETTE AVE, GRAND ISLAND, NE 68803-2048
(308) 384-2265
(308) 384-2243

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
633
NE
101YM0800X
Mental Health Counselor
Primary
1026
NE
101YM0800X
Mental Health Counselor
2955
NE
101YP2500X
Professional Counselor
1535
NE

Other

Enumeration date
10/06/2006
Last updated
09/20/2022
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