Individual
KIRA L TALBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP, LADC
Contact information
Practice address
12020 SHAMROCK PLZ, SUITE 200, OMAHA, NE 68154-3537
(402) 850-7200
Mailing address
12912 SCOTT ST, OMAHA, NE 68142-1770
(402) 850-7200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
984
NE
101YM0800X
Mental Health Counselor
Primary
9020
NE
Other
Enumeration date
11/04/2010
Last updated
05/20/2015
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