Individual
MRS. LISA MARIE WITKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, LPC
Contact information
Practice address
10845 HARNEY ST, OMAHA, NE 68154-2639
(402) 916-9421
Mailing address
2701 BLACKHAWK DR, BELLEVUE, NE 68123-3715
(402) 290-1451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2179
NE
101YP2500X
Professional Counselor
1225
NE
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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