Individual
CLEVELAND FURBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
5600 S 59TH ST STE 104, LINCOLN, NE 68516-2387
(402) 484-0595
Mailing address
5600 S 59TH ST STE 104, LINCOLN, NE 68516-2387
(402) 484-0595
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
756
NE
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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