Individual provider · Type 1 NPI

Connor Edwin Kendzora

Mental Health Counselor · Omaha, NE

NPI number 1821628496 Active

Practice location

6902 Pine St
Omaha, NE 68106-2855

Fax (402) 559-5737

Mailing address

985450 Nebraska Medical Ctr
Omaha, NE 68198-5450

Other practice locations

  • 16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417 · (949) 833-2237

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800X13896 (NE)

Mental Health Counselor: Definition to come...

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About NPI 1821628496

Connor Edwin Kendzora's National Provider Identifier is 1821628496, issued on Jan 22, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Omaha, NE. The record was last updated on Jul 2, 2024.