Individual
KIMBERLY S HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP LADC
Contact information
Practice address
8502 MORMON BRIDGE RD, OMAHA, NE 68152-1929
(402) 455-8347
(402) 455-7050
Mailing address
8502 MORMON BRIDGE RD, OMAHA, NE 68152-1929
(402) 991-8558
(402) 455-7050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P376
NE
101YM0800X
Mental Health Counselor
7860
NE
Other
Enumeration date
02/27/2009
Last updated
12/09/2019
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