Individual
JULIE ANN MICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
11605 DOUGLAS ST, OMAHA, NE 68154-3128
(818) 298-2515
Mailing address
11605 DOUGLAS ST, OMAHA, NE 68154-3128
(818) 298-2515
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
258
NE
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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