Individual
IAN M SEVERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHP, LADC
Contact information
Practice address
8031 W CENTER RD, SUITE 324, OMAHA, NE 68124-3158
(402) 502-5002
(402) 502-5102
Mailing address
8031 W CENTER RD, SUITE 324, OMAHA, NE 68124-3158
(402) 502-5002
(402) 502-5102
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
826
NE
101YM0800X
Mental Health Counselor
Primary
3688
NE
Other
Enumeration date
04/09/2007
Last updated
03/06/2012
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