Tengorn Phaisan
Mental Health in Nebraska

License number
Nebraska 8166
Issued Date
Oct 25, 2006
Effective Date
Jan 19, 2012
Expiration Date
Oct 25, 2011
Category
Mental Health Practice
Type
Provisional Mental Health Practitioner
Address
Address
Nebraska
Education
Doane College, May 20, 2007
Doane College, Oct 3, 2006
LicenseFiles verified this license of Mar 26, 2017 at the Nebraska Department of Health and Human Services.

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