Individual
KIRSTEN STIDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
8922 CUMING ST, OMAHA, NE 68114-2732
(402) 926-4373
(402) 926-3898
Mailing address
2036 N 63RD ST, OMAHA, NE 68104-4712
(515) 451-7523
(402) 933-9998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10393
NE
101YP2500X
Professional Counselor
Primary
2136
NE
Other
Enumeration date
11/04/2014
Last updated
09/08/2021
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