Individual
KRISTEN SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
11204 DAVENPORT ST STE 200, OMAHA, NE 68154-2658
(402) 356-3332
Mailing address
11204 DAVENPORT ST STE 200, OMAHA, NE 68154-2658
(402) 807-3925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14439
NE
104100000X
Social Worker
8211
NE
Other
Enumeration date
06/13/2025
Last updated
07/16/2025
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