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NPI Code Detail

MEDICARE: MRS. DANA RENEE SALL LMHP

MEDICARE: MRS. DANA RENEE SALL LMHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor2470NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285837732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANA RENEE SALL LMHP
Provider Business Mailing Address
First Line : 2010 N 88TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68134-6102
Country : US
Telephone Number : 402-496-1000
Fax Number : 402-496-4209
Provider Business Practice Location Address
First Line : 2010 N 88TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68134-6102
Country : US
Telephone Number : 402-496-1000
Fax Number : 402-496-4209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. DANA RENEE SALL LMHP” Practice Location

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