Organization
FRESH START THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW ERIC KOEPP LIMHP (PRESIDENT/FOUNDER)
(402) 937-8619
Entity
Organization
Contact information
Practice address
1055 N 115TH ST STE 105, OMAHA, NE 68154-4419
(402) 937-8619
Mailing address
8011 GROVER ST, OMAHA, NE 68124-3331
(402) 740-4447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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