| NPI | 1104986884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA MICHELLE KUESTER Co Clinical Director;Thearpist 402-564-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2600) |
| 101YM0800X Counselor, Mental Health (Licence: NE 2501) | |
| 101YM0800X Counselor, Mental Health (Licence: NE 7854) | |
| 103T00000X Psychologist (Licence: NE 622) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2017-03-28 |