Individual
KRISTINE ANNE POTHAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP, PCMSW
Contact information
Practice address
200 W F ST, LINCOLN, NE 68508-2964
(402) 217-2659
Mailing address
200 W F ST, LINCOLN, NE 68508-2964
(402) 217-2659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2987
NE
1041C0700X
Clinical Social Worker
2121
NE
Other
Enumeration date
10/28/2019
Last updated
08/03/2023
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