Individual
ALEXA THEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 PACIFIC ST STE 320, OMAHA, NE 68106-1044
(402) 841-3852
Mailing address
833 S 60TH ST, OMAHA, NE 68106-1215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11835
NE
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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