Individual
MS. SHIRLEY DALE ROTHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, CFLE
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 382-3660
(308) 389-5131
Mailing address
907 N FAIRFIELD AVE, FAIRFIELD, NE 68938-1911
(402) 726-2246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1195
NE
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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