Individual
MRS. SUSAN MARIE MICHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
115 W RAILWAY ST, SCOTTSBLUFF, NE 69361-3177
(308) 635-9888
Mailing address
115 W RAILWAY ST, SCOTTSBLUFF, NE 69361-3177
(308) 635-9888
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2427
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50868767326
—
NE
Enumeration date
11/01/2006
Last updated
07/09/2007
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