Individual
MRS. MONICA LEE MASSENGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
2616 S 132ND ST, #160, OMAHA, NE 68144-4234
(402) 850-7322
Mailing address
2616 S 132ND ST, #160, OMAHA, NE 68144-4234
(402) 850-7322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11372
NE
101YM0800X
Mental Health Counselor
2804
NE
Other
Enumeration date
05/01/2018
Last updated
09/24/2021
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