# MARY P HASKINS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184055568
- **Authorized official:** MARY P HASKINS LCSW, LMHP, LADC (OWNER)
- **Authorized official phone:** (402) 727-4886

## Contact information

- **Practice address:** 1627 E MILITARY AVE, SUITE 200, FREMONT, NE 68025-5490
- **Practice address phone:** (402) 727-4886
- **Practice address fax:** (402) 727-4146
- **Mailing address:** 1627 E MILITARY AVE, SUITE 200, FREMONT, NE 68025-5490
- **Mailing address phone:** (402) 727-4886
- **Mailing address fax:** (402) 727-4146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 855 | NE | — |
| 101YM0800X | Mental Health Counselor | 3724 | NE | — |
| 1041C0700X | Clinical Social Worker | 1369 | NE | Yes |

## Other

- **Enumeration date:** 12/10/2013
- **Last updated:** 12/10/2013
