Individual
KIMBERLY DIANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10845 HARNEY ST, OMAHA, NE 68154-2639
(402) 916-9421
Mailing address
10845 HARNEY ST, OMAHA, NE 68154-2639
(402) 916-9421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13306
NE
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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