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Individual

ROSE ELLEN KIRKPATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCC, PLMHP, TLMHC

Contact information

Practice address
902 S 6TH ST, COUNCIL BLUFFS, IA 51501-6441
(712) 325-1990
Mailing address
723 S 38TH ST, OMAHA, NE 68105-1124
(712) 371-3959

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
108585
IA
101YM0800X
Mental Health Counselor
12542
NE

Other

Enumeration date
06/25/2021
Last updated
06/25/2021
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