| NPI | 1164230157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER KUNCE Lmft Clinical Supervisor 402-677-1701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-12-21 |
| Last Update Date | 2024-12-21 |