Individual
MONICA L BLIZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, CMSW, LADC
Contact information
Practice address
8502 MORMON BRIDGE RD, OMAHA, NE 68152-1929
(402) 991-8509
(402) 455-7050
Mailing address
8502 MORMON BRIDGE RD, OMAHA, NE 68152-1929
(402) 991-8509
(402) 455-7050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LADC 824
NE
101YM0800X
Mental Health Counselor
LIMHP 473
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
348833000
MAGELLAN MANAGED CARE
NE
01
—
82146
BLUE CROSS BLUE SHIELD
NE
Enumeration date
06/25/2007
Last updated
08/26/2016
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