Organization
MALLETT COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LYNN MALLETT (OWNER/COUNSELOR)
(402) 894-9805
Entity
Organization
Contact information
Practice address
13504 STEVENS ST, SUITE A, OMAHA, NE 68137-1634
(402) 894-9805
(402) 894-1015
Mailing address
13504 STEVENS ST, SUITE A, OMAHA, NE 68137-1634
(402) 894-9805
(402) 894-1015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
194
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025687200
—
NE
Enumeration date
12/27/2013
Last updated
12/27/2013
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