# CHMP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Choices
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841431541
- **Authorized official:** CHANDRA M PETERSEN LMHP LADC (OWNER)
- **Authorized official phone:** (402) 533-3680

## Contact information

- **Practice address:** 1630 WASHINGTON ST, BLAIR, NE 68008-1656
- **Practice address phone:** (402) 533-3680
- **Practice address fax:** (402) 533-4411
- **Mailing address:** PO BOX 589, BLAIR, NE 68008-0589
- **Mailing address phone:** (402) 533-3680
- **Mailing address fax:** (402) 533-4411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 731 | NE | — |
| 101YM0800X | Mental Health Counselor | 2997 | NE | Yes |

## Other

- **Enumeration date:** 03/10/2009
- **Last updated:** 03/10/2009