Individual
BETTY KOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
4060 VINTON ST STE 100, OMAHA, NE 68105-3863
(402) 214-6949
Mailing address
4060 VINTON ST STE 100, OMAHA, NE 68105-3863
(402) 214-6949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4504
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026379900
—
NE
Enumeration date
12/15/2014
Last updated
12/15/2014
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