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Organization
UNCONVENTIONAL HEALING
Active
Organization
UNCONVENTIONAL HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEE M LARSON LIMHP, LADC (OWNER)
(605) 354-7252
Entity
Organization
Contact information
Practice address
4214 N 64TH ST, OMAHA, NE 68104-2605
(605) 354-7252
Mailing address
4214 N 64TH ST, OMAHA, NE 68104-2605
(605) 354-7252
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50315351900
—
NE
Enumeration date
04/26/2022
Last updated
04/26/2022
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