Individual
KRISTY LYNN THEILEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
626 ROAD 12, SCHUYLER, NE 68661-6152
(402) 615-2854
Mailing address
626 ROAD 12, SCHUYLER, NE 68661-6152
(402) 615-2854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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