# TED KAWA CHILD & FAMILY COUNSELING PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710084223
- **Authorized official:** MR. TED KAWA LCSW (PRESIDENT)
- **Authorized official phone:** (308) 389-6160

## Contact information

- **Practice address:** 1811 W 2ND STREET, SUITE 435, GRAND ISLAND, NE 68803-5413
- **Practice address phone:** (308) 389-6160
- **Practice address fax:** (308) 381-0658
- **Mailing address:** 1811 W 2ND STREET, SUITE 435, GRAND ISLAND, NE 68803-5413
- **Mailing address phone:** (308) 389-6160
- **Mailing address fax:** (308) 381-0658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2006
- **Last updated:** 07/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025283400 | — | NE |