| Chittenden Counseling Services Llc | |
|
1055 N 115th St Ste 105 Omaha NE 68154-4419 | |
| (402) 415-4913 | |
| Not Available |
| Full Name | Chittenden Counseling Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1055 N 115th St Ste 105, Omaha, Nebraska |
| Authorized Official Name and Position | Samantha Chittenden (THERAPIST) |
| Authorized Official Contact | 4024154913 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chittenden Counseling Services Llc 8875 S 171st St Omaha NE 68136-4125 Ph: (402) 415-4913 | Chittenden Counseling Services Llc 1055 N 115th St Ste 105 Omaha NE 68154-4419 Ph: (402) 415-4913 |
| NPI Number | 1679304083 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679304083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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