Individual
KAYLA JO ALLMENDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
7703 SERUM AVE, OMAHA, NE 68127-4281
(402) 991-8824
(402) 991-3486
Mailing address
7703 SERUM AVE, OMAHA, NE 68127-4281
(402) 991-8824
(402) 991-3486
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P1548
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073549747
—
NE
Enumeration date
10/05/2018
Last updated
10/05/2018
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