Individual
ANGELINE WEASEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
120 S 24TH ST, STE 100, OMAHA, NE 68102-1213
(402) 342-7007
Mailing address
124 S 24TH ST, STE 230, OMAHA, NE 68102-1226
(402) 978-5656
(402) 591-5075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8909
NE
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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