Individual
MS. HELEN POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-5890
Mailing address
11330 Q ST, OMAHA, NE 68137-3679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
381
NE
101YM0800X
Mental Health Counselor
Primary
2005
NE
101YM0800X
Mental Health Counselor
759
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47037660433
—
NE
Enumeration date
08/30/2006
Last updated
06/04/2012
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