Organization
PONCA TRIBE OF NEBRASKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KELLI MICHIE OUCHI MA, PLHMP, PLADC (SUBSTANCE ABUSE COUNSELOR)
(402) 438-9222
Entity
Organization
Contact information
Practice address
1701 E ST, LINCOLN, NE 68508-3429
(402) 438-9222
(402) 438-9226
Mailing address
1701 E ST, LINCOLN, NE 68508-3429
(402) 438-9222
(402) 438-9226
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
8484
NE
251S00000X
Community/Behavioral Health Agency
Primary
P-672
NE
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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