Individual
KELLI RAE NIEWOHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 VICKI LN, NORFOLK, NE 68701-4558
(402) 347-4252
Mailing address
1900 VICKI LN, NORFOLK, NE 68701-4558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NE
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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