Individual
STEPHANE HETHIENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11209 KING ST, OMAHA, NE 68142-1825
(402) 505-1676
Mailing address
11209 KING ST, OMAHA, NE 68142-1825
(402) 505-1676
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5894
LA
103TF0000X
Family Psychologist
1234
—
103TS0200X
School Psychologist
987456A
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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