Individual
MIKAYLA LYNN WENGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP, PCMSW
Contact information
Practice address
2815 S LOCUST ST, GRAND ISLAND, NE 68801-8861
(308) 530-4144
Mailing address
1509 RAINBOW RD, GRAND ISLAND, NE 68801-1817
(308) 530-4144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13827
NE
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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