Individual
SAMANTHA BAIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
800 N WASHINGTON ST, LEXINGTON, NE 68850-1981
(308) 532-0587
Mailing address
7929 W CENTER RD, OMAHA, NE 68124-3104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13598
NE
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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