Individual
MRS. GRETTA RENEE CRISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
11912 ELM ST, SUITE 122, OMAHA, NE 68144-4443
(402) 330-4440
(402) 952-0050
Mailing address
11912 ELM ST, SUITE 122, OMAHA, NE 68144-4443
(402) 330-4440
(402) 952-0050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2403
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470542534-01
—
NE
Enumeration date
10/22/2007
Last updated
10/22/2007
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