Individual
MRS. TAMMY GENE KELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP, LADC, CPC
Contact information
Practice address
600 N. COTNER BLVD, SUITE 106, LINCOLN, NE 68505-0019
(402) 890-9957
(402) 269-3145
Mailing address
605 W. 9TH STREET, P.O. BOX 264, SYRACUSE, NE 68446-0264
(402) 890-9957
(402) 269-3145
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
638
NE
101YM0800X
Mental Health Counselor
Primary
2971
NE
Other
Enumeration date
03/02/2007
Last updated
12/16/2010
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