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Organization

ASSOCIATED COUNSELING GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA SHARP (LICENSED MENTAL HEALTH PRACTITIONER)
(402) 941-7016
Entity
Organization

Contact information

Practice address
748 N MAIN ST, FREMONT, NE 68025-5004
(402) 941-7016
(402) 941-7018
Mailing address
748 N MAIN ST, FREMONT, NE 68025-5004
(402) 941-7016
(402) 941-7018

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2243
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025071000
NE
Enumeration date
09/09/2016
Last updated
09/09/2016
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