Organization
COUNSELING AFFILIATES OF NEBRASKA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY LOU PAINE PH.D. (LICENSED PSYCHOLOGIST)
(402) 488-4489
Entity
Organization
Contact information
Practice address
1550 S 70TH ST, SUITE 101, LINCOLN, NE 68506-1576
(402) 488-0077
(402) 488-0017
Mailing address
1550 S 70TH ST, SUITE 101, LINCOLN, NE 68506-1576
(402) 488-0077
(402) 488-0017
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
559
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100254513000
—
NE
Enumeration date
10/28/2006
Last updated
10/27/2011
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