Individual
KELLY R DORFMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LIMHP, CPC, LADC
Contact information
Practice address
11905 P ST STE 105, OMAHA, NE 68137-2237
(402) 884-0856
(402) 884-0865
Mailing address
11905 P ST STE 105, OMAHA, NE 68137-2237
(402) 884-0856
(402) 884-0865
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
663
NE
101YM0800X
Mental Health Counselor
Primary
2982
NE
Other
Enumeration date
01/30/2008
Last updated
04/12/2013
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