Individual
KIMBERLY N BRISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
124 S 24TH STREET #230, LUTHERAN FAMILY SERVICES, OMAHA, NE 68102-1226
(402) 978-5656
(402) 591-5075
Mailing address
124 S 24TH STREET #230, LUTHERAN FAMILY SERVICES, OMAHA, NE 68102-1226
(402) 978-5656
(402) 591-5075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3919
NE
101YM0800X
Mental Health Counselor
LCPC2912
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807126900
—
ID
Enumeration date
01/04/2007
Last updated
07/20/2011
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