Individual
ADAM N. PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MC, NCC, LPC, LIMHP
Contact information
Practice address
5600 S 59TH ST, SUITE 104, LINCOLN, NE 68516-2386
(402) 484-0595
(402) 484-6306
Mailing address
5600 S 59TH ST, SUITE 104, LINCOLN, NE 68516-2386
(402) 484-0595
(402) 484-6306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LIMHP-705
NE
101YM0800X
Mental Health Counselor
LMHP-3150
NE
101YP2500X
Professional Counselor
CPC-1670
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024982600
—
NE
05
—
47084125026
—
NE
01
—
48053
BLUECROSSBLUESHIELD
—
Enumeration date
07/04/2007
Last updated
12/13/2010
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