Individual
SHANNON STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10665 BEDFORD AVE STE 200, OMAHA, NE 68134-3682
(402) 937-8323
(402) 937-8324
Mailing address
19169 BIRDSLEY RD, COUNCIL BLUFFS, IA 51503-8147
(712) 828-1945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13987
NE
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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