Individual
EMILY R CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
3280 WOODRIDGE BLVD STE 200, GRAND ISLAND, NE 68801-7483
(308) 380-4136
Mailing address
1104 SAGEWOOD AVE, GRAND ISLAND, NE 68803-4988
(308) 380-4136
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13458
NE
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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