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Individual

MS. KRISTAL WALENZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, PLMHP

Contact information

Practice address
1812 N 169TH PLZ, OMAHA, NE 68118-2809
(402) 934-1617
(402) 934-5228
Mailing address
1812 N 169TH PLZ, OMAHA, NE 68118-2809
(402) 934-1617
(402) 934-5228

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
9569
NE
101YM0800X
Mental Health Counselor
Primary
9569
NE
101YP2500X
Professional Counselor
9569
NE

Other

Enumeration date
01/12/2012
Last updated
01/12/2012
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