Organization
ABUNDANT LIFE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL ANGEL SOTO LMHP (THERAPIST)
(402) 706-5863
Entity
Organization
Contact information
Practice address
5002 DODGE ST, SUITE 205, OMAHA, NE 68132-2906
(402) 706-5863
Mailing address
5002 DODGE ST, SUITE 205, OMAHA, NE 68132-2906
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3605
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025306000
—
NE
Enumeration date
01/23/2012
Last updated
01/23/2012
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