Individual
KELLY L RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW LIMHP
Contact information
Practice address
707 N HARRISON ST, PAPILLION, NE 68046-4318
(402) 281-5020
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(402) 281-5020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2014
NE
1041C0700X
Clinical Social Worker
Primary
1780
NE
Other
Enumeration date
09/08/2018
Last updated
12/14/2023
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