Individual
CAROL SANDEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
715 N KANSAS AVE, HASTINGS, NE 68901-4453
(402) 463-7711
Mailing address
715 N KANSAS AVE, HASTINGS, NE 68901-4453
(402) 463-7711
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2307
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84035
BLUE CROSS BLUE SHIELD NE
NE
Enumeration date
08/15/2005
Last updated
01/08/2008
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