Individual
MATTHEW WAYE KEYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, PLMHP
Contact information
Practice address
5217 S 28TH ST, OMAHA, NE 68107-3402
(402) 715-5491
Mailing address
22380 PINE HILL DR, GRETNA, NE 68028-4849
(402) 980-7022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11318
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205135001
—
NE
Enumeration date
11/05/2017
Last updated
11/05/2017
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