Individual
DUSTANA MENCL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
122 S 4TH ST, SEWARD, NE 68434-2108
(402) 643-4954
Mailing address
122 S 4TH ST, SEWARD, NE 68434-2108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12321
NE
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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