Individual
MRS. IRIS G KEWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP NCC
Contact information
Practice address
12619 BURT ST, OMAHA, NE 68154-4015
(402) 980-4452
(402) 614-1814
Mailing address
12619 BURT ST, OMAHA, NE 68154-4015
(402) 980-4452
(402) 614-1814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3343
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470608468-26
—
NE
Enumeration date
01/09/2007
Last updated
11/10/2008
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