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Organization

HEARTLAND FAMILY SERVICE

Active
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Organization

HEARTLAND FAMILY SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN JEANETTA (PRESIDENT / CEO)
(402) 552-7402
Entity
Organization

Contact information

Practice address
1722 AVE C, COUNCIL BLUFFS, IA 51501-2440
(712) 435-5380
Mailing address
2101 S 42ND ST, OMAHA, NE 68105-2947

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—

Other

Enumeration date
05/15/2009
Last updated
08/31/2010
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