Male or Other

Ken G. Munzesheimer LMHP, CMSW

Counselor in Omaha, NE(View on Map)

Full Name

Ken G. Munzesheimer LMHP, CMSW

NPI Number

1811015217

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/26/2007

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Licenses

State

Nebraska
Nebraska

License Number

502
659

Contact
Information

Purpose

Mailing
Location

Address

2017 S 135TH AVE
9239 W CENTER RD

City

Omaha
Omaha

State

NE
NE

Postal Code

68144-2403
68124-1900

Country

US
US

Telephone Number

N/A
(402) 354-8000

Identifiers

Identifier

502
659

Identifier State

NE
NE

Identifier Issuer

LMHP LICENSE
CMSW LICENSE

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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