Individual
EMILY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
5824 S 142ND ST, OMAHA, NE 68137-2856
(402) 205-5120
Mailing address
5824 S 142ND ST, OMAHA, NE 68137-2856
(402) 205-5120
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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