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Individual

AMANDA KATHLEEN CHIPMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LIMHP, LPC, LCMHC

Contact information

Practice address
2323 AVENUE J E, OMAHA, NE 68110-2789
(402) 522-7190
Mailing address
1815 LONGVIEW ST # B-103, PAPILLION, NE 68133-2538
(402) 314-4713

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
20100
NC
101YM0800X
Mental Health Counselor
Primary
3180
NE
101YM0800X
Mental Health Counselor
9652
SC

Other

Enumeration date
05/09/2024
Last updated
07/03/2024
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