Individual
MS. KIMBERLY S. HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, ACADC; LADC
Contact information
Practice address
2808 N 75TH ST, SUITE H, OMAHA, NE 68134-6861
(402) 932-9412
(402) 932-3557
Mailing address
2808 N 75TH ST, SUITE H, OMAHA, NE 68134-6861
(402) 932-9412
(402) 932-3557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
09132
IA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
896
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01015
CADC
IA
Enumeration date
12/28/2006
Last updated
06/22/2011
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