Individual
KELLY D CARRIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12103 S 29TH ST, BELLEVUE, NE 68123-1404
(626) 672-8587
Mailing address
12103 S 29TH ST, BELLEVUE, NE 68123-1404
(626) 672-8587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3747P1801X
NE
171W00000X
Contractor
Primary
3747P1801X
NE
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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