Individual
LAURA J. BLANCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, LMSW
Contact information
Practice address
8901 INDIAN HILLS DR STE 250, OMAHA, NE 68114-4033
(402) 354-3152
(402) 354-8720
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-4230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4987
NE
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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