Individual
KASSIE FLEWELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1000 N 90TH ST STE 200, OMAHA, NE 68114-2766
(402) 955-5400
Mailing address
1000 N 90TH ST STE 200, OMAHA, NE 68114-2766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
1110
NE
Other
Enumeration date
05/11/2021
Last updated
10/25/2022
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