Individual
COLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMHP, CMFT
Contact information
Practice address
7909 L ST, OMAHA, NE 68127-1725
(402) 408-8388
Mailing address
7909 L ST, OMAHA, NE 68127-1725
(402) 408-8388
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
11303
NE
101Y00000X
Counselor
Primary
5502
NE
Other
Enumeration date
09/22/2017
Last updated
05/04/2022
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