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Individual

KYLE SPEARS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT LIMHP

Contact information

Practice address
7702 S 200TH ST, GRETNA, NE 68028-5070
(402) 676-0031
Mailing address
7702 S 200TH ST, GRETNA, NE 68028-5070
(402) 676-0031

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1457
NE
106H00000X
Marriage & Family Therapist
167
NE

Other

Enumeration date
12/12/2011
Last updated
12/12/2024
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