Individual
MR. DANIEL G FENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2501 CAPEHART RD, SUITE 2, OFFUTT AFB, NE 68113-1043
(402) 274-8018
Mailing address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7872
NE
1041C0700X
Clinical Social Worker
Primary
6467
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025559800
—
NE
Enumeration date
06/06/2008
Last updated
12/02/2021
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