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Organization

IMMACULATE HEART OF MARY COUNSELING CENTER

Active
Other names
Immaculate Heart of Mary Counseling Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. COURTNEY K MILLER PH.D. (DIRECTOR OF CLINICAL SERVICES)
(402) 489-1834
Entity
Organization

Contact information

Practice address
3700 SHERIDAN BLVD, STE 1, LINCOLN, NE 68506-6100
(402) 489-1834
(402) 489-2046
Mailing address
8055 O ST STE 301, LINCOLN, NE 68510-2564
(402) 489-1834
(402) 489-2046

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026870000
NE
Enumeration date
07/29/2006
Last updated
09/12/2024
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