Individual
MARILYN KAY HAJEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
2122 BROADWAY, SCOTTSBLUFF, NE 69361-1904
(308) 225-4335
(308) 633-2020
Mailing address
2122 BROADWAY, SCOTTSBLUFF, NE 69361-1904
(308) 225-4335
(308) 633-2020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1525
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932516192
—
NE
Enumeration date
02/21/2018
Last updated
02/21/2018
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