Individual
KATIE ANN MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
5017 LEAVENWORTH ST STE 1, OMAHA, NE 68106-1438
(712) 322-3700
Mailing address
2830 AVENUE L, COUNCIL BLUFFS, IA 51501-0785
(402) 889-0582
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11140
NE
Other
Enumeration date
06/27/2017
Last updated
03/17/2018
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