Individual
MS. JULIE A PESEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
12035 Q ST, OMAHA, NE 68137-3542
(402) 991-0611
(402) 991-6228
Mailing address
12035 Q ST, OMAHA, NE 68137-3542
(402) 991-0611
(402) 991-6228
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
L-612
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-0785436-26
—
NE
Enumeration date
06/30/2008
Last updated
06/30/2008
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