Individual provider · Type 1 NPI

Kristy Lynn Mixan

Counselor · Omaha, NE

NPI number 1104965896 Active

Practice location

425 N 30th St
Omaha, NE 68131-2100

Call (402) 452-5000 Map

Fax (402) 452-5028

Mailing address

555 N 30th St
Omaha, NE 68131-2136

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X1422 (NE)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104965896

Kristy Lynn Mixan's National Provider Identifier is 1104965896, issued on Feb 6, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Omaha, NE. The record was last updated on Nov 22, 2010.