Provider Demographics
NPI:1841453016
Name:CUSTER, JANET SUE (MS LMHP)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:SUE
Last Name:CUSTER
Suffix:
Gender:F
Credentials:MS LMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 SYRACUSE AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68702
Mailing Address - Country:US
Mailing Address - Phone:402-371-8834
Mailing Address - Fax:402-379-0988
Practice Address - Street 1:1800 SYRACUSE AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68702
Practice Address - Country:US
Practice Address - Phone:402-371-8834
Practice Address - Fax:402-379-0988
Is Sole Proprietor?:No
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE649101YA0400X
NE3315101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health