Kelly Theisen, PLMHP, PLADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1962108621

Kelly Theisen, PLMHP, PLADC is an Addiction (Substance Use Disorder) Counselor in Palmyra, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since: 2023
Specialties on file: 2

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Practice location Address checks out

708 Sunset Blvd
Palmyra, NE 68418-4136
Phone: (402) 335-7945

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary)	Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor	Taxonomy 101YA0400X

Record details

NPI number	1962108621
Entity type	Individual (Type 1)
Gender	Female
Credentials	PLMHP , PLADC
Sole proprietor	Yes
NPI enumerated	February 3, 2023
Last updated in NPPES	February 3, 2023
Certification date	February 3, 2023