Individual
ANTONIE HOLMSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 232-2307
Mailing address
8922 CUMING ST, OMAHA, NE 68114-2732
(402) 926-4373
(402) 926-3898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3464
NE
1041C0700X
Clinical Social Worker
Primary
3028
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7869
STATE OF NEBRASKA
NE
Enumeration date
10/22/2009
Last updated
01/23/2024
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