Organization
EVERGREEN COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LOUISE ECHTENKAMP (OWNER OF ENTITY)
(402) 616-3237
Entity
Organization
Contact information
Practice address
6790 GROVER ST STE 250, OMAHA, NE 68106-3645
(402) 988-1533
(614) 658-3201
Mailing address
6790 GROVER ST STE 250, OMAHA, NE 68106-3645
(402) 988-1533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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