Individual
MRS. CONTENNIA MARIE TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
5620 AMES AVE, OMAHA, NE 68104-2702
(402) 616-3672
Mailing address
13156 D PLZ, OMAHA, NE 68144-5318
(402) 616-3672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P1949
NE
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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