Individual
MS. KARLA NICHOLE WIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LIMHP LADC
Contact information
Practice address
4600 VALLEY RD, LINCOLN, NE 68510-4855
(408) 488-6511
Mailing address
4600 VALLEY RD, LINCOLN, NE 68510-4855
(408) 488-6511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
844
NE
101YM0800X
Mental Health Counselor
Primary
1153
NE
101YM0800X
Mental Health Counselor
2579
NE
101YP2500X
Professional Counselor
1414
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241745
MIDLANDS CHOICE
NE
05
—
47052851500
—
NE
05
—
47052851581
—
NE
01
—
84993
BCBS
NE
Enumeration date
11/14/2006
Last updated
12/12/2014
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