Individual
KERA KRISTINE FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
7405 PIONEERS BLVD STE B, LINCOLN, NE 68506-7554
(402) 488-0101
(402) 488-0301
Mailing address
7405 PIONEERS BLVD STE B, LINCOLN, NE 68506-7554
(402) 488-0101
(402) 488-0301
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1728
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47084647426
—
NE
Enumeration date
07/12/2006
Last updated
02/06/2019
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