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General NPI Number Information
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NPI Number | 1598891467
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Entity Type | Individual
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Provider Name | LISA MARIE OSTHOFF MA, LPC, LIMHP
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 3350 10TH ST
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City | GERING
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State | NE
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Zip | 69341-1724
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Country | US
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Telephone | 308-635-3089
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 PRIMROSE DR
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City | SCOTTSBLUFF
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State | NE
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Zip | 69361-1437
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Country | US
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Telephone | 308-641-8368
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2980
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1567
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3835
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License Number State | NE
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