Individual
MARIE GOTTHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
1045 N 115TH ST STE 150, OMAHA, NE 68154-4422
(520) 827-9952
Mailing address
15371 LOCUST ST, OMAHA, NE 68116-6163
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3355
NE
Other
Enumeration date
12/04/2019
Last updated
02/19/2024
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