Individual
KIMBERLY D MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LIMHP, LMHP, LPC
Contact information
Practice address
BOYS TOWN NATIONAL RESEARCH HOSPITAL RTC2, 14092 HOSPITAL ROAD, BOYS TOWN, NE 68010
(531) 355-5409
(531) 355-5499
Mailing address
BOYS TOWN NATIONAL RESEARCH HOSPITAL RTC2, 14092 HOSPITAL ROAD, BOYS TOWN, NE 68010
(531) 355-5409
(531) 355-5499
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4921
NE
101YM0800X
Mental Health Counselor
Primary
1714
NE
101YP2500X
Professional Counselor
2350
NE
Other
Enumeration date
04/24/2014
Last updated
12/26/2024
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