Provider Demographics
NPI:1295052173
Name:STANEK, SEAN P (MA, LMHP, NCC)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:P
Last Name:STANEK
Suffix:
Gender:M
Credentials:MA, LMHP, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 CUMING ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-1952
Mailing Address - Country:US
Mailing Address - Phone:402-898-5932
Mailing Address - Fax:402-898-6026
Practice Address - Street 1:3612 CUMING ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-1952
Practice Address - Country:US
Practice Address - Phone:402-898-5932
Practice Address - Fax:402-898-6026
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3998101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health