Organization
AMY JOHANNA SJOHOLM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY JOHANNA SJOHOLM LMHP (OWNER)
(402) 879-5755
Entity
Organization
Contact information
Practice address
3308 W CAPITAL AVE, GRAND ISLAND, NE 68803-1333
(402) 879-5755
Mailing address
106 PARKLANE AVE, AURORA, NE 68818-1844
(402) 879-5755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4454
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026475600
—
NE
Enumeration date
07/21/2016
Last updated
07/21/2016
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