Individual
KYLA CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LMHP
Contact information
Practice address
2707 L ST, ORD, NE 68862-1275
(308) 728-4340
Mailing address
2707 L ST, ORD, NE 68862-1275
(308) 728-4340
(308) 728-5579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2844
NE
101YM0800X
Mental Health Counselor
5734
NE
Other
Enumeration date
02/24/2020
Last updated
11/06/2023
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