Individual
SAMANTHA KAY CHITTENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
4239 FARNAM ST, OMAHA, NE 68131-2868
(402) 559-7312
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12569
NE
101YM0800X
Mental Health Counselor
Primary
3208
NE
Other
Enumeration date
06/29/2022
Last updated
12/22/2022
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