Individual
JANIS KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLADC
Contact information
Practice address
1111 N 17TH ST, OMAHA, NE 68102-4102
(402) 341-1821
Mailing address
1401 N 18TH ST, OMAHA, NE 68102-4109
(402) 341-1821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-2250
NE
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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