Individual
DANIELLE MALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LMSW, LISW
Contact information
Practice address
12035 Q ST, OMAHA, NE 68137-3542
(402) 991-0611
(402) 991-6228
Mailing address
12035 Q ST, OMAHA, NE 68137-3542
(402) 991-0611
(402) 991-6228
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2462
NE
1041C0700X
Clinical Social Worker
120106
IA
1041C0700X
Clinical Social Worker
1939
NE
Other
Enumeration date
02/06/2019
Last updated
11/30/2023
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