Individual
JEAN K KIUNTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLDAC
Contact information
Practice address
3005 19TH ST STE 700, COLUMBUS, NE 68601-4248
(402) 606-3084
Mailing address
2404 18TH ST, COLUMBUS, NE 68601-4538
(402) 910-3039
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1705
NE
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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