Individual
EMILY NISSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1903 4TH CORSO, NEBRASKA CITY, NE 68410-2601
(402) 873-5505
(402) 873-6374
Mailing address
1123 N 9TH ST, BEATRICE, NE 68310-2041
(402) 228-3386
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1096
NE
Other
Enumeration date
04/09/2013
Last updated
09/24/2020
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