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General NPI Number Information
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NPI Number | 1760278311
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Entity Type | Organization
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Legal Business Name | KRELLE COUNSELING. LLC
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 11717 BURT ST STE 101
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City | OMAHA
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State | NE
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Zip | 68154-1500
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Country | US
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Telephone | 402-647-0796
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Fax | 402-246-5917
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Provider Business Mailing Address
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Address Line | 11717 BURT ST STE 101
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City | OMAHA
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State | NE
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Zip | 68154-1500
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Country | US
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Telephone | 402-647-0796
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Fax | 402-246-5917
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Authorized Official
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Title or Position | OWNER/ THERAPIST
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Name | JILL KRELLE
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Credential | MS, LIMHP, LPC
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Telephone | 402-647-0796
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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 |
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License Number State |
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