Individual
MR. KOFFI WOLALI AHLIJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
11711 ARBOR ST, STE 110, OMAHA, NE 68144-2975
(402) 392-2972
(402) 392-2978
Mailing address
3703 N 113TH PLZ, OMAHA, NE 68164-2864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7563
NE
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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