Individual
LORI P. WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, CPC
Contact information
Practice address
7551 MAIN ST STE 259, RALSTON, NE 68127-5903
(402) 699-3468
Mailing address
1703 LAKEWOOD DR, PAPILLION, NE 68046-4297
(402) 699-3468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
710
NE
Other
Enumeration date
10/25/2006
Last updated
11/10/2023
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