Individual
KARRIE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMHP, CPC, NCC
Contact information
Practice address
11207 W DODGE RD, OMAHA, NE 68154-2605
(402) 964-2404
Mailing address
11207 W DODGE RD, OMAHA, NE 68154-2605
(402) 964-2404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1559
NE
101YP2500X
Professional Counselor
1559
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84782
BLUE CROSS BLUE SHIELD
NE
Enumeration date
11/30/2006
Last updated
09/23/2014
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