Individual
KEN G. MUNZESHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHP, CMSW
Contact information
Practice address
9239 W CENTER RD, SUITE # 207, OMAHA, NE 68124-1900
(402) 354-8000
Mailing address
2017 S 135TH AVE, OMAHA, NE 68144-2403
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
502
NE
101Y00000X
Counselor
659
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
502
LMHP LICENSE
NE
01
—
659
CMSW LICENSE
NE
Enumeration date
03/26/2007
Last updated
07/08/2007
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