Individual
MARIA VILIASANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
124 S 24TH ST, STE 230, OMAHA, NE 68102-1226
(402) 978-5656
Mailing address
2900 O ST, LINCOLN, NE 68510-1454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8500
NE
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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