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Organization
LINCOLN KARATE CLINIC, INC.
Active
Organization
LINCOLN KARATE CLINIC, INC.
Active
Other names
KICKS Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT DAVID WALLS MA, LIPC, CCMHC (OWNER/PRESIDENT)
(402) 430-6912
Entity
Organization
Contact information
Practice address
237 S 70TH ST, SUITE: 108, LINCOLN, NE 68510-2473
(402) 430-6912
Mailing address
237 S 70TH ST, SUITE: 108, LINCOLN, NE 68510-2473
(402) 430-6912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
244
NE
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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