Individual
LISA MARIE TERWILLEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LPC
Contact information
Practice address
2132 S 42ND ST, OMAHA, NE 68105-2910
(402) 558-1858
(402) 558-8970
Mailing address
7909 L ST, OMAHA, NE 68127-1725
(402) 934-4977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
641
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470648845-26
—
NE
Enumeration date
05/21/2007
Last updated
01/24/2023
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