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Individual

MRS. MARY LUCILLE KUEHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHP, CMSW, LADC

Contact information

Practice address
2101 S 42ND ST, OMAHA, NE 68105-2947
(402) 553-3000
(402) 552-7444
Mailing address
10826 CEDAR ST, OMAHA, NE 68144-3134
(402) 250-1128

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LADC 549
NE
101YM0800X
Mental Health Counselor
LMHP 2614
NE
1041C0700X
Clinical Social Worker
Primary
MSW 1080
NE

Other

Enumeration date
08/16/2005
Last updated
09/18/2013
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