Individual
KATHLEEN GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
11404 W DODGE RD STE 300, OMAHA, NE 68154-2511
(402) 898-1113
(402) 819-5588
Mailing address
11404 W DODGE RD STE 300, OMAHA, NE 68154-2511
(402) 898-1113
(402) 819-5588
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12314
NE
Other
Enumeration date
08/03/2022
Last updated
02/12/2025
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