Individual provider · Type 1 NPI
Kristie Dawn Earsom, PLMHP NCC
Counselor · Loomis, NE
NPI number
1457643165
Active
Practice location
10730 737 Rd
Loomis, NE 68958-5806
Fax (308) 876-2130
Mailing address
710 Burlington St
Holdrege, NE 68949-2177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 9323 (NE) |
| Mental Health Counselor | 101YM0800X | 9323 (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.
About NPI 1457643165
Kristie Dawn Earsom, PLMHP NCC's National Provider Identifier is 1457643165, issued on May 12, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Loomis, NE. The record was last updated on May 12, 2011.