Individual
MS. KERRY E MATUSZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
11911 ARBOR ST, OMAHA, NE 68144-2970
(402) 334-3044
Mailing address
11911 ARBOR ST, OMAHA, NE 68144-2970
(402) 334-3044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7711
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96070
BLUE CROSS BLUE SHIELD
NE
Enumeration date
04/11/2007
Last updated
07/08/2007
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