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Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1619458023

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
328 S NIPHON ST  WEST POINT, NE 68788-2334 US
Tel: 140-230-9097  Fax: --

Contact information for business:
328 S NIPHON ST  WEST POINT, NE 68788-2334 US
Tel: 140-230-9097  Fax: --

Registration Information:
NPI: 1619458023
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Mental Health

Legacy codes, insurance codes and state license numbers:



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