Individual
KATELYNN HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHP
Contact information
Practice address
4001 LEAVENWORTH ST, OMAHA, NE 68105-1026
(023) 415-1284
(402) 505-9803
Mailing address
4001 LEAVENWORTH ST, OMAHA, NE 68105-1026
(023) 415-1284
(402) 505-9803
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11789
NE
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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