Individual
BRADLEY DEAN DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
7420 S 29TH ST, LINCOLN, NE 68516-5738
(402) 310-6690
(402) 423-2643
Mailing address
7420 S 29TH ST, LINCOLN, NE 68516-5738
(402) 310-6690
(402) 423-2643
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1444
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-1474
NE
225700000X
Massage Therapist
862
NE
Other
Enumeration date
04/26/2007
Last updated
08/18/2023
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