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Individual

KIMBERLY ELLENBERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LIMHP

Contact information

Practice address
1306 N 13TH ST, NORFOLK, NE 68701-2591
(402) 841-6631
Mailing address
859 4TH ST, MEADOW GROVE, NE 68752-4006
(402) 841-5376

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11999
NE
101YM0800X
Mental Health Counselor
Primary
2861
NE
101YM0800X
Mental Health Counselor
5712
NE

Other

Enumeration date
09/13/2019
Last updated
04/29/2026
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