Individual
MARTHA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
124 S 24TH ST STE 100, OMAHA, NE 68102-1226
(402) 978-5656
(402) 591-5075
Mailing address
120 S 24TH ST STE 100, OMAHA, NE 68102-1202
(402) 342-7007
(402) 661-7117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
662
NE
1041C0700X
Clinical Social Worker
438
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23726797200
—
NE
Enumeration date
12/09/2006
Last updated
09/11/2025
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