Individual
SHY NICOLE MECKNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
4102 WOOLWORTH AVE, OMAHA, NE 68105-1851
(402) 444-7000
Mailing address
6635 BEDFORD AVE, OMAHA, NE 68104-3205
(402) 517-5191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4480
NE
101YP2500X
Professional Counselor
2180
NE
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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