Individual
MS. MELISSA SUE STUTZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP, PLADC
Contact information
Practice address
600 N COTNER BLVD, SUITE 106, LINCOLN, NE 68505-2343
(402) 440-3055
Mailing address
PO BOX 327, MILFORD, NE 68405-0327
(402) 440-3055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-591
NE
101YM0800X
Mental Health Counselor
Primary
3070
NE
101YP2500X
Professional Counselor
1592
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025568100
—
NE
01
—
251697
MIDLANDS CHOICE
NE
01
—
34568000
MAGELLAN MANAGED CARE
NE
05
—
47075636930
—
NE
01
—
84626
BCBS
NE
Enumeration date
05/23/2007
Last updated
05/29/2008
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