Individual
LISA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
207 W 29TH ST, SUITE B, KEARNEY, NE 68845-3475
(308) 338-8900
Mailing address
207 W 29TH ST, SUITE B, KEARNEY, NE 68845-3475
(308) 338-8900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7936
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025460300
—
NE
Enumeration date
09/28/2006
Last updated
07/09/2007
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