Individual
KATHLEEN RACHEL MULCAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
914 L ST, LINCOLN, NE 68508-2228
(402) 475-2694
(502) 475-2699
Mailing address
914 L ST, LINCOLN, NE 68508-2228
(402) 475-2694
(502) 475-2699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
796
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025221900
—
NE
Enumeration date
12/14/2010
Last updated
12/14/2010
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