Individual
CHERYL L WEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.D.C.
Contact information
Practice address
2116 W FAIDLEY AVE, GRAND ISLAND, NE 68803-4645
(308) 398-5427
(308) 398-5404
Mailing address
2408 22ND AVE, CENTRAL CITY, NE 68826-9747
(308) 946-3269
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LADC-063
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LADC-063
LICENSE ALCOHOL DRUG COUN
NE
Enumeration date
02/08/2007
Last updated
07/08/2007
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