Individual
MICHAEL WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
EMILE @ 42ND ST, OMAHA, NE 68198-5575
(402) 552-6007
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
11799
NE
101YM0800X
Mental Health Counselor
Primary
11799
NE
Other
Enumeration date
03/26/2019
Last updated
02/01/2021
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