Individual
AMANDA N BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
14168 CASTELAR PLZ APT 10, OMAHA, NE 68144-2346
(402) 797-1987
Mailing address
14168 CASTELAR PLZ APT 10, OMAHA, NE 68144-2346
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11345
NE
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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