Individual
ANYA MARIE UNIVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSC, PLMHP
Contact information
Practice address
11404 W DODGE RD STE 300, OMAHA, NE 68154-9603
(402) 512-3731
Mailing address
8013 NEWPORT AVE, OMAHA, NE 68122-1647
(402) 446-0215
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13352
—
Other
Enumeration date
10/27/2022
Last updated
04/05/2023
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