Individual
MS. KRISTINE RUTH SEVERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW LMHP
Contact information
Practice address
10846 OLD MILL RD STE 5, OMAHA, NE 68154-2655
(402) 290-8593
(402) 991-7445
Mailing address
4539 HICKORY ST, OMAHA, NE 68106-2509
(402) 290-8593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1000
NE
1041C0700X
Clinical Social Worker
Primary
2225
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100253396-00
—
NE
Enumeration date
04/20/2010
Last updated
12/02/2015
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