Individual
CORAL DEL MAR NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 415-8423
Mailing address
2126 N 117TH AVE, OMAHA, NE 68164-3670
(402) 415-8423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12864
NE
Other
Enumeration date
01/18/2022
Last updated
12/19/2023
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