Individual
KRISTINE WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
16940 LAKESIDE HILLS PLZ, SUITE 150, OMAHA, NE 68130-2323
(402) 717-2555
(402) 572-3544
Mailing address
PO BOX 641130, OMAHA, NE 68164-7130
(402) 572-2907
(402) 572-3544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
595
NE
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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