Amy Johanna Sjoholm, LLC
Counselor, Mental Health in Grand Island, NE. Organization (NPI-2).
NPI number1538512876
StatusActive
Last updated in NPPESJul 21, 2016
Details
- NPI
- 1538512876
- Entity type
- Organization (NPI-2)
- Legal business name
- Amy Johanna Sjoholm, LLC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2016
- Last updated
- Jul 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 4454 | NE | Yes |
Practice location
3308 W Capital AveGrand Island, NE 68803-1333
Phone 402-879-5755
Mailing address
106 Parklane AveAurora, NE 68818-1844
Phone 402-879-5755
Authorized official
Amy Johanna Sjoholm
Owner
4028795755
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