Individual
AMANDA WEAKLEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7100 S 29TH ST, LINCOLN, NE 68516-6057
(402) 476-0104
Mailing address
20714 CEDAR CIR, GRETNA, NE 68028-6930
(701) 367-3703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10488
NE
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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