Individual
CHRISTOPHER FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11204 DAVENPORT ST STE 209, OMAHA, NE 68154-2658
(402) 728-8199
Mailing address
11204 DAVENPORT ST STE 209, OMAHA, NE 68154-2658
(402) 728-8199
(402) 695-9069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1321
NE
101YM0800X
Mental Health Counselor
Primary
2425
NE
Other
Enumeration date
12/26/2017
Last updated
05/30/2025
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