Organization
FOUR ROADS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO BARRANCO LADC (OWNER)
(308) 324-0222
Entity
Organization
Contact information
Practice address
513 N GRANT ST, SUIT 3 A, LEXINGTON, NE 68850-1946
(308) 324-0222
(308) 324-0225
Mailing address
513 N GRANT ST, SUIT 3 A, LEXINGTON, NE 68850-1946
(308) 324-0222
(308) 324-0225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
454
NE
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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