Individual
STACI HUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCP, LIMHP
Contact information
Practice address
2740 N CLARKSON ST, FREMONT, NE 68025-7702
(402) 721-0951
(402) 564-0611
Mailing address
4321 41ST AVE, COLUMBUS, NE 68601-2131
(402) 562-8955
(402) 564-0611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2933
NE
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/13/2017
Last updated
12/13/2024
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