Individual
KRYSTA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7130 S 29TH ST STE G, LINCOLN, NE 68516-5841
(402) 881-0532
(402) 975-2408
Mailing address
7130 S 29TH ST STE G, LINCOLN, NE 68516-5841
(402) 881-0532
(402) 975-2408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10542
NE
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026724200
—
NE
05
—
10027801200
—
NE
Enumeration date
01/30/2012
Last updated
11/06/2023
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