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Organization
SAMARITAN COUNSELING CENTER CORPORATION
Active
Organization
SAMARITAN COUNSELING CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W. VAUTRAVERS (BOARD TREASURER)
(402) 483-5117
Entity
Organization
Contact information
Practice address
8650 PIONEERS BLVD, LINCOLN, NE 68520
(402) 483-5117
(402) 483-5154
Mailing address
8650 PIONEERS BLVD, LINCOLN, NE 68520
(402) 483-5117
(402) 483-5154
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
NULL
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/27/2006
Last updated
12/02/2009
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