Individual
MS. SUSAN DIANE NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHP, CPC, NCC
Contact information
Practice address
11920 BURT STREET, #190, OMAHA, NE 68154
(402) 965-4004
(402) 965-4232
Mailing address
11920 BURT STREET, #190, OMAHA, NE 68154
(402) 965-4004
(402) 965-4232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1546
NE
101YM0800X
Mental Health Counselor
957
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253006-00
—
NE
01
—
84677
BLUECROSS BLUESHIELD
NE
Enumeration date
08/24/2006
Last updated
07/08/2007
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