Provider Demographics
NPI:1619176351
Name:NUMADENU, KOSSI SENA (MS, LMHP, PLADC)
Entity Type:Individual
Prefix:MR
First Name:KOSSI
Middle Name:SENA
Last Name:NUMADENU
Suffix:
Gender:M
Credentials:MS, LMHP, PLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3013 S 108TH ST APT 5
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4839
Mailing Address - Country:US
Mailing Address - Phone:402-321-7821
Mailing Address - Fax:
Practice Address - Street 1:7905 L ST STE 410
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-1732
Practice Address - Country:US
Practice Address - Phone:402-991-7621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEP-629101YA0400X
NE8149101YM0800X
NE3378101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)