Individual
LACEY WARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 S 42ND ST STE 129, OMAHA, NE 68105-2938
(402) 871-9979
(402) 614-9947
Mailing address
1941 S 42ND ST STE 129, OMAHA, NE 68105-2938
(402) 871-9979
(402) 614-9947
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025769200
—
NE
Enumeration date
09/19/2012
Last updated
09/19/2012
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