Individual
MRS. TAMMY LOUISE KILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP, LPC
Contact information
Practice address
116 W 19TH ST, FALLS CITY, NE 68355-2011
(402) 245-4458
Mailing address
16758 LINCOLN RD, MOUND CITY, MO 64470-8239
(816) 572-8786
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8883
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025208200
—
NE
05
—
47052851510
—
NE
Enumeration date
03/02/2012
Last updated
01/23/2013
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