Individual
MRS. SAMANTHA R WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHP, NCC
Contact information
Practice address
820 S 75TH ST, OMAHA, NE 68114-4623
(402) 391-2477
Mailing address
5100 S 79TH AVE, RALSTON, NE 68127-2709
(402) 578-8089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4442
NE
101YP2500X
Professional Counselor
Primary
2161
NE
Other
Enumeration date
08/08/2014
Last updated
04/05/2017
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