Individual
KIM G ETHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP, LPC
Contact information
Practice address
1919 S 40TH ST, SUITE 312, LINCOLN, NE 68506-5243
(402) 475-5069
(402) 475-2350
Mailing address
1919 S 40TH ST, SUITE 312, LINCOLN, NE 68506-5243
(402) 475-5069
(402) 475-2350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1998
NE
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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