Individual
MRS. MANDY DIANE STUBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHP
Contact information
Practice address
4009 6TH AVE, STE 45, KEARNEY, NE 68845-2386
(308) 237-4739
(308) 237-0367
Mailing address
4009 6TH AVE, STE 45, KEARNEY, NE 68845-2386
(308) 237-4739
(308) 237-0367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3023
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025760900
—
NE
05
—
10025761000
—
NE
05
—
47080518700
—
NE
05
—
47080518701
—
NE
Enumeration date
08/21/2006
Last updated
09/09/2009
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