Individual provider · Type 1 NPI
Alison Defrance Widtfeldt
Mental Health Counselor · Omaha, NE
NPI number
1457763138
Active
Practice location
11920 Burt St Ste 190
Omaha, NE 68154-1573
Mailing address
721 Redwood Dr
Council Bluffs, IA 51503-8479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 001358 (IA) |
| Mental Health Counselor Primary | 101YM0800X | 4607 (NE) |
| Professional Counselor | 101YP2500X | 2235 (NE) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1457763138
Alison Defrance Widtfeldt's National Provider Identifier is 1457763138, issued on May 29, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on Sep 23, 2015.