| Kicks Counseling | |
|
237 S 70th St Suite: 108 Lincoln NE 68510-2473 | |
| (402) 430-6912 | |
| Not Available |
| Full Name | Kicks Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 237 S 70th St, Lincoln, Nebraska |
| Authorized Official Name and Position | Scott David Walls (OWNER/PRESIDENT) |
| Authorized Official Contact | 4024306912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kicks Counseling 237 S 70th St Suite: 108 Lincoln NE 68510-2473 Ph: (402) 430-6912 | Kicks Counseling 237 S 70th St Suite: 108 Lincoln NE 68510-2473 Ph: (402) 430-6912 |
| NPI Number | 1619322542 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619322542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 244 (Nebraska) | Primary |
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