Individual
MS. TEAGAN MACKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LPC
Contact information
Practice address
11308 DAVENPORT ST, OMAHA, NE 68154-2630
(402) 915-2722
Mailing address
11308 DAVENPORT ST, OMAHA, NE 68154-2630
(402) 915-2755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3467
NE
Other
Enumeration date
09/25/2023
Last updated
01/08/2024
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