Provider Demographics
NPI:1063080646
Name:FUENNING, SETH ROBERT (LMHP, CPC)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:ROBERT
Last Name:FUENNING
Suffix:
Gender:M
Credentials:LMHP, CPC
Other - Prefix:
Other - First Name:SETH
Other - Middle Name:ROBERT
Other - Last Name:FUENNING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHP
Mailing Address - Street 1:9531 MORTENSEN CT
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68526-6019
Mailing Address - Country:US
Mailing Address - Phone:402-802-3259
Mailing Address - Fax:
Practice Address - Street 1:8101 O ST STE 211
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2647
Practice Address - Country:US
Practice Address - Phone:402-318-5699
Practice Address - Fax:844-929-1577
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-11
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2531101YM0800X
NE5363101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health