Individual
MRS. M DIANE ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP CPC RN
Contact information
Practice address
2833 S 87TH AVE, OMAHA, NE 68124-3046
(402) 398-9852
(402) 398-9852
Mailing address
3007 S 76TH AVE, OMAHA, NE 68124-3409
(402) 391-7353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
374
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025268200
—
NE
Enumeration date
08/12/2006
Last updated
07/08/2007
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