Ryan John Mahnke, MS, PLMHP
Counselor, Professional in Fremont, NE. Individual provider (NPI-1).
NPI number1669928602
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1669928602
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ryan John Mahnke
- Credential
- MS, PLMHP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2016
- Certification date
- Apr 3, 2023
- Last updated
- Apr 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 12706 | NE | Yes |
| 101YP2500X | Counselor, Professional | 10965 | NE |
Practice location
230 E 22nd StFremont, NE 68025-2661
Phone 402-214-9254 · Fax 402-727-4288
Mailing address
4102 Woolworth AveOmaha, NE 68105-1851
Phone 402-444-7608 · Fax 402-996-8171
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