Individual
KIMBERLY A MASSARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
730 FORT CROOK RD N, BELLEVUE, NE 68005-4558
(402) 292-9105
(402) 292-0342
Mailing address
124 S 24TH ST, SUITE 230, OMAHA, NE 68102-1226
(402) 978-5656
(402) 591-5075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
291
NE
106H00000X
Marriage & Family Therapist
1838
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23726797201
—
NE
Enumeration date
09/15/2006
Last updated
10/23/2008
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