Individual
MIYOM THON DENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8519 BIRCH DR, LA VISTA, NE 68128-2418
(402) 541-3049
Mailing address
8519 BIRCH DR, LA VISTA, NE 68128-2418
(402) 541-3049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
H12852785
NE
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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