Female

Kristi L. Tackett-newburg PHD LIMHP CPC

Professional Counselor in Omaha, NE(View on Map)

Full Name

Kristi Lynne Tackett-newburg PHD LIMHP CPC

NPI Number

1609082189

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/14/2007

Specialties

(Taxonomies)

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Nebraska

License Number

293

Contact
Information

Purpose

Mailing
Location

Address

9802 NICHOLAS ST STE 350
9802 NICHOLAS ST STE 350

City

Omaha
Omaha

State

NE
NE

Postal Code

68114-2106
68114-2106

Country

US
US

Telephone Number

(402) 932-2296
(402) 932-2296

Identifiers

Identifier

10025043400

Identifier State

NE

Identifier Issuer

Unknown

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

Data last updated by provider on 12/01/2020

Provider Address

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