Individual
LISA ANN WILWERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, PLADAC
Contact information
Practice address
10826 OLD MILL RD STE 103A, OMAHA, NE 68154-2660
(402) 469-5843
Mailing address
10826 OLD MILL RD STE 103A, OMAHA, NE 68154-2660
(402) 469-5843
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1729
NE
101YM0800X
Mental Health Counselor
Primary
12031
NE
Other
Enumeration date
10/22/2019
Last updated
11/10/2023
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