GLENETTA R BLACK

OMAHA, NE
NPI1649519737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NE  9886)
Enumeration Date2013-02-08
Last Update Date2013-02-08
Business Address
Ms. GLENETTA R BLACK MS, PMHP
3040 LAKE ST STE 118
OMAHA, NE 68111-3700
Phone number: 402-215-3433
Mailing Address
Ms. GLENETTA R BLACK MS, PMHP
3040 LAKE ST STE 118
OMAHA, NE 68111-3700
Phone number: 402-215-3433