Individual
MRS. MARY L BOTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
17110 MARCY ST STE 110, OMAHA, NE 68118-3123
(708) 408-4158
Mailing address
1629 S 154TH ST, OMAHA, NE 68144-5152
(708) 408-4158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10909
NE
Other
Enumeration date
08/23/2017
Last updated
01/21/2026
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