NPI | 1619322542 |
---|---|
Doing Business As | KICKS COUNSELING |
Entity Type | Organization |
Authorized Contact | SCOTT DAVID WALLS Owner/President 402-430-6912 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 244) |
Enumeration Date | 2016-04-28 |
Last Update Date | 2016-04-28 |