Individual
EVETTE DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA,MS,PLMHP
Contact information
Practice address
5620 AMES AVE, OMAHA, NE 68104-2754
(402) 612-7066
Mailing address
939 S 89TH ST, OMAHA, NE 68114-5105
(402) 612-7066
(402) 614-6832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7888
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251158900
—
NE
Enumeration date
04/16/2007
Last updated
07/08/2007
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