Individual
MS. CANDIDA THERESA MIRAMONTES-LANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS PLMHP PL ADC
Contact information
Practice address
6720 N 30TH ST, OMAHA, NE 68112-3211
(402) 457-7782
(402) 457-7791
Mailing address
92 THOMAS LK, ASHLAND, NE 68003-9400
(402) 944-2289
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7457
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-468
NE
Other
Enumeration date
08/16/2005
Last updated
07/27/2015
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