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Individual

MRS. KRISHA SUE UDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS LMHP LPC LIMHP

Contact information

Practice address
1932 ASPEN CIR, SUITE J, GRAND ISLAND, NE 68803-2353
(308) 379-1958
(866) 234-6903
Mailing address
PO BOX 5401, GRAND ISLAND, NE 68802-5401
(308) 379-1958
(866) 234-6903

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1119
NE
101Y00000X
Counselor
Primary
1936
NE
101Y00000X
Counselor
227
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
299164000
MAGELLAN MIS #
NE
Enumeration date
06/02/2006
Last updated
05/06/2009
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