Individual
MS. JUSTINE ALEXANDRA WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1709 JACKSON ST, OMAHA, NE 68102-2513
(402) 599-2551
Mailing address
1709 JACKSON STREET, OMAHA, OMAHA, NE 68102
(402) 599-2551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3474
NE
Other
Enumeration date
04/02/2007
Last updated
09/16/2022
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