Individual
CAROLE PETRIDES BAKKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LIMHP, CPC
Contact information
Practice address
11912 ELM ST STE 120, OMAHA, NE 68144-4386
(402) 980-6648
Mailing address
11912 ELM ST STE 120, OMAHA, NE 68144-4386
(402) 980-6648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9595
NE
Other
Enumeration date
03/13/2012
Last updated
07/21/2022
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