Individual
MS. LEESA LARAINE DZURIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
316 CHICAGO AVE, SUITE #2, PLATTSMOUTH, NE 68048-1833
(402) 296-4664
(402) 296-4664
Mailing address
PO BOX 34367, OMAHA, NE 68134-0367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2843
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2843
LICENSE
NE
Enumeration date
11/23/2007
Last updated
11/23/2007
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