Individual
CODI L CAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP, LPC
Contact information
Practice address
134 S WALNUT ST, WAHOO, NE 68066-2064
(402) 413-0159
Mailing address
134 S WALNUT ST, WAHOO, NE 68066-2064
(402) 413-0159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5874
NE
Other
Enumeration date
10/09/2019
Last updated
05/22/2023
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