Individual
KATIE KYKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHP
Contact information
Practice address
1627 E MILITARY AVE, FREMONT, NE 68025-5490
(402) 727-4886
Mailing address
1627 E MILITARY AVE, FREMONT, NE 68025-5490
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11031
NE
104100000X
Social Worker
2898
NE
104100000X
Social Worker
7111
NE
Other
Enumeration date
10/28/2016
Last updated
12/21/2016
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