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Individual

MR. KYLE WOCKENFUSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHP, CPC, NCC

Contact information

Practice address
5930 S 58TH ST STE J, LINCOLN, NE 68516-3653
(402) 623-0050
Mailing address
19839 SW 100TH ST, CRETE, NE 68333-2593
(402) 418-1540

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5154
NE
101YM0800X
Mental Health Counselor
9988
NE

Other

Enumeration date
06/12/2013
Last updated
05/26/2020
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