Individual provider · Type 1 NPI

Susan D. Wallis, PLMHP, PCMSW, MSW

Counselor · Omaha, NE

NPI number 1740357813 Active

Practice location

2101 S 42nd St
Omaha, NE 68105-2909

Call (402) 553-3000 Map

Mailing address

5646 Ohio St
Omaha, NE 68104-4138

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X7196 (NE)
Counselor Primary 101Y00000X11317 (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 1740357813

Susan D. Wallis, PLMHP, PCMSW, MSW's National Provider Identifier is 1740357813, issued on Nov 30, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Omaha, NE. The record was last updated on Oct 10, 2018.