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Individual

MR. RYAN JOHN MAHNKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, PLMHP

Contact information

Practice address
230 E 22ND ST, FREMONT, NE 68025-2661
(402) 214-9254
(402) 727-4288
Mailing address
4102 WOOLWORTH AVE, OMAHA, NE 68105-1851
(402) 444-7608
(402) 996-8171

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
10965
NE
101YP2500X
Professional Counselor
Primary
12706
NE

Other

Enumeration date
08/30/2016
Last updated
04/03/2023
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