Individual
AMANDA ROCHELLE HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
955 N ADAMS ST STE 8, PAPILLION, NE 68046-3080
(531) 444-1963
Mailing address
6456 N 107TH CT, OMAHA, NE 68134-1190
(402) 213-0439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12943
NE
Other
Enumeration date
01/12/2020
Last updated
02/11/2025
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