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General NPI Number Information
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NPI Number | 1639450927
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Entity Type | Organization
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Legal Business Name | UMOJA COUNSELING
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Dates
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Enumeration Date | 08/31/2011
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Last Update Date | 08/31/2011
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Provider Practice Location Address
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Address Line | 3701 O ST STE 204
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City | LINCOLN
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State | NE
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Zip | 68510-1647
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Country | US
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Telephone | 402-706-4374
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Fax |
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Provider Business Mailing Address
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Address Line | 1941 S 42ND ST STE 433 3701 O STREET SUITE 204
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City | OMAHA
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State | NE
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Zip | 68105-2944
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Country | US
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Telephone | 402-706-4374
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Fax |
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Authorized Official
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Title or Position | MENTALHEALTH THERAPIST
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Name | MR. JAMES LEONARD HOLT
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Credential | MSW,LCSW,LIMHP,DSW
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Telephone | 402-706-4374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 908
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License Number State | NE
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