Individual
KELLI LEA SLAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
9802 NICHOLAS ST STE 350, OMAHA, NE 68114-2106
(402) 932-2296
(402) 281-0665
Mailing address
9802 NICHOLAS ST STE 350, OMAHA, NE 68114-2106
(402) 932-2296
(402) 281-0665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00982
IA
101YM0800X
Mental Health Counselor
Primary
2875
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20-0637558
—
IA
Enumeration date
04/28/2008
Last updated
09/26/2023
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