institution
Katherinezupancicmacpclpcpc
Mental Health Clinic/Center (Including Community Mental Health Center) in Lincoln, Nebraska
NPI 1447316757

Katherinezupancicmacpclpcpc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lincoln, NE and is specialized in Mental Health (Including Community Mental Health Center). Katherinezupancicmacpclpcpc practices in Lincoln, NE. The NPI Number for Katherinezupancicmacpclpcpc is 1447316757 and holds a License No. 301 & 397 (Nebraska).

The current practice location address for Katherinezupancicmacpclpcpc is 301 S 13Th St, Lincoln, NE and can be reached out via phone at 402-476-3002 and via fax at 402-476-3002.

Location: 301 S 13Th St, Lincoln, NE, 68508-2537
institution
Provider Profile Details
NPI Number
1447316757
Provider Name
Katherinezupancicmacpclpcpc
Credential
Provider Entity Type
Organization
Address
301 S 13Th St, Lincoln, NE, 68508-2537
Phone Number
402-476-3002
Fax Number
402-476-3002
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84413 01 NE BCBS
MHS093572 01 NE VALUE OPTIONS
institution
Provider Business Practice Location Address Details
Address
301 S 13Th St
City
State
Zip
68508-2537
Phone Number
402-476-3002
Fax Number
402-476-3002
person
Provider Business Mailing Address Details
Address
301 S 13Th St
City
State
Zip
68508-2537
Phone Number
402-476-3002
Fax Number
402-476-3002
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
301 & 397 (Nebraska)
Definition
Definition to come...
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