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Shannon Luth
Mental Health Counselor in Kearney, Nebraska
NPI 1841610391

Shannon Luth is a Mental Health Counselor based in Kearney, NE and is specialized in Mental Health. Shannon Luth practices in Kearney, NE. The NPI Number for Shannon Luth is 1841610391 and holds a License No. 1554 (Nebraska).

The current practice location address for Shannon Luth is 2908 W 39Th St Ste B, Kearney, NE and can be reached out via phone at 308-237-0391.

Location: 2908 W 39Th St Ste B, Kearney, NE, 68845-1245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841610391
Provider Name
Shannon Luth
Credential
Provider Entity Type
Individual
Gender
Female
Address
2908 W 39Th St Ste B, Kearney, NE, 68845-1245
Phone Number
308-237-0391
Fax Number
Provider Enumeration Date
04/23/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
371749606 05 NE
institution
Provider Business Practice Location Address Details
Address
2908 W 39Th St Ste B
City
Kearney
State
Nebraska
Zip
68845
Phone Number
308-237-0391
Fax Number
person
Provider Business Mailing Address Details
Address
2908 W 39Th St Ste B
City
Kearney
State
Nebraska
Zip
68845
Phone Number
308-237-0391
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
1554 (Nebraska)
Definition
Definition to come...
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