Individual
LESTINA LEONA SAUL MERDASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
2240 LANDON CT, OMAHA, NE 68102-2414
(402) 346-0902
(402) 342-5290
Mailing address
2240 LANDON CT, OMAHA, NE 68102-2414
(402) 346-0902
(402) 342-5290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1363
NE
Other
Enumeration date
08/18/2020
Last updated
11/30/2021
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