Organization
REBECCA NICHOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA NICHOLS (OWNER)
(402) 933-4411
Entity
Organization
Contact information
Practice address
11069 I ST, OMAHA, NE 68137-1207
(402) 933-4411
Mailing address
11069 I ST, OMAHA, NE 68137-1207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4237
NE
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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