Individual
PRAIRIE MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LMHP
Contact information
Practice address
3810 CENTRAL AVE, KEARNEY, NE 68848
(308) 237-5951
Mailing address
3810 CENTRAL AVE, KEARNEY, NE 68848
(308) 237-5951
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3140
NE
101YM0800X
Mental Health Counselor
Primary
472
NE
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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