Individual
ALISON DEFRANCE WIDTFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11920 BURT ST STE 190, OMAHA, NE 68154-1573
(402) 965-4004
Mailing address
721 REDWOOD DR, COUNCIL BLUFFS, IA 51503-8479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001358
IA
101YM0800X
Mental Health Counselor
Primary
4607
NE
101YP2500X
Professional Counselor
2235
NE
Other
Enumeration date
05/29/2014
Last updated
09/23/2015
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