Individual
MRS. KRISTIE DAWN EARSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP NCC
Contact information
Practice address
10730 737 RD, LOOMIS, NE 68958-5806
(308) 876-2327
(308) 876-2130
Mailing address
710 BURLINGTON ST, HOLDREGE, NE 68949-2177
(308) 995-6691
(308) 995-6830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9323
NE
101YM0800X
Mental Health Counselor
9323
NE
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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