Most Relevant Information
Provider Data
| NPI Number: | 1003412917 |
| Provider Name: | MEGAN ELIZABETH VANBENCOTEN LIMHP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 12423 |
Most Important Dates
| Enumeration Date: | 12/07/2020 |
| Last Updated: | 05/17/2024 |
Provider Practice Location
11404 W DODGE RD STE 300
OMAHA
NE
681549603
Practice Location Phone/Fax
| Phone: | 4028981113 |
| Fax: |
Provider Mailing Location
11404 W DODGE RD STE 300
OMAHA
NE
681549603
Provider Mailing Phone/Fax
| Phone: | 4028981113 |
| Fax: |