Individual
MARVIN CHAUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC LIMHP
Contact information
Practice address
1124 N COTNER BLVD, LINCOLN, NE 68505-1834
(402) 435-3165
Mailing address
1124 N COTNER BLVD, LINCOLN, NE 68505-1834
(402) 435-3165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1095
NE
101YM0800X
Mental Health Counselor
Primary
2331
NE
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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