Individual
MARY BETH WICHELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
2101 S 42ND ST, HEARTLAND FAMILY SERVICE, OMAHA, NE 68105
(402) 553-3000
(402) 552-7444
Mailing address
16005 N 2ND ST, BENNINGTON, NE 68007
(402) 880-7949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P350
NE
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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