Individual
AMBER J GILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11071 W MAPLE RD, OMAHA, NE 68164-2604
(402) 932-8884
(402) 932-8885
Mailing address
11071 W MAPLE RD, OMAHA, NE 68164-2604
(402) 932-8884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5500
NE
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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