Individual
MERRIUL WELDIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, CPC
Contact information
Practice address
207 W. 2ND,, POB 744, MCCOOK, NE 69001-0744
(308) 345-4676
(308) 345-4676
Mailing address
PO BOX 744, MCCOOK, NE 69001-0744
(308) 345-4676
(308) 345-4676
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2568
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346012000
MIS#, MAGELLAN
NE
05
—
470845408-26
—
NE
01
—
85451
BLUECROSS BLUESHIEL
NE
Enumeration date
12/28/2006
Last updated
07/09/2007
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