Individual
COURTNEY JO LIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHP
Contact information
Practice address
7905 L ST STE 410, OMAHA, NE 68127
(712) 635-3389
Mailing address
7905 L ST STE 410, OMAHA, NE 68127-1732
(712) 635-3389
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5307
NE
Other
Enumeration date
06/02/2016
Last updated
07/10/2019
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