Individual
MINDI BERNICE WIKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 S 42ND ST STE 542, OMAHA, NE 68105-2945
(402) 702-0583
(402) 702-0583
Mailing address
1941 S 42ND ST STE 542, OMAHA, NE 68105-2945
(402) 401-4445
(402) 702-0583
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13789
NE
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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