Individual
ANITA FITZEKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
124 S 24TH ST STE 230, OMAHA, NE 68102-1226
(402) 978-5656
(402) 591-5075
Mailing address
513 N D ST, FREMONT, NE 68025-5051
(402) 721-1774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
361
NE
Other
Enumeration date
12/09/2006
Last updated
07/08/2007
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