Individual provider · Type 1 NPI

Kimberly Gene Krajewski Clark, PMSW PLMHP

Mental Health Counselor · Omaha, NE

NPI number 1619143591 Active

Practice location

6720 N 30th St, Heartland Family Service
Omaha, NE 68112

Fax (402) 455-1064

Mailing address

4522 N 152 Street
Omaha, NE 68116

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPLMHP8596 (NE)
Clinical Social Worker 1041C0700XPMSW6632 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1619143591

Kimberly Gene Krajewski Clark, PMSW PLMHP's National Provider Identifier is 1619143591, issued on May 1, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on May 1, 2008.