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Individual

MRS. SHELLEY KAY POOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., M.S.

Contact information

Practice address
11414 W CENTER RD STE 215, OMAHA, NE 68144-4487
(402) 215-3211
(402) 334-0629
Mailing address
1261 S 165TH AVE, OMAHA, NE 68130-1315

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3488
NE
101YP2500X
Professional Counselor
1752
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100253275-00
NE
Enumeration date
09/08/2009
Last updated
09/08/2009
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