Individual
MRS. SANDRA A KUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12818 AUGUSTA AVE, OMAHA, NE 68144-3733
(402) 334-1122
(402) 334-8171
Mailing address
12818 AUGUSTA AVE, OMAHA, NE 68144-3733
(402) 334-1122
(402) 334-8171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
377
NE
101YM0800X
Mental Health Counselor
70
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47076860626
—
NE
Enumeration date
08/25/2005
Last updated
12/23/2009
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