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KELLY RENEE GWARTNEY MA PLMHP

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

Registrant NPI Number: 1144308420

Individual Registrant:
 KELLY RENEE GWARTNEY MA PLMHP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1903 4TH CORSO  NEBRASKA, NE 68410-2601 US
Tel: 402-873-5505  Fax: 402-873-6374

Contact information for business:
8140 S CHERRYWOOD DRIVE  LINCOLN, NE 68510 US
Tel: 402-327-8208  Fax: --

Registration Information:
NPI: 1144308420
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
NE7827

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
47052851501NE05
10025208500NE05




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