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NPI 1013866656 · Addiction (Substance Use Disorder) Counselor · Lincoln, NE
Provider details
- NPI number
- 1013866656
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- P-2358 (NE)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1124 N Cotner Blvd
Lincoln, NE 68505-1834
Phone: (402) 435-3165
Approximate (ZIP-level) locationGet directions
Mailing address
219 N 4th St
Seward, NE 68434-2144
Registry dates
- Enumerated
- 2026-01-27
- Last updated
- 2026-02-07
- Certified
- 2026-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.