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Individual

MS. DANETTE D REIDL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LIMHP

Contact information

Practice address
4505 AURORA DR, OMAHA, NE 68134-3329
(402) 671-8591
Mailing address
4505 AURORA DR, OMAHA, NE 68134-3329
(402) 671-8591

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3095
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10026589300
NE
Enumeration date
04/29/2016
Last updated
01/17/2023
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