Individual
MR. JOHN DOUGLAS SIMS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLADC
Contact information
Practice address
9623 M ST, OMAHA, NE 68127-2007
(531) 999-6004
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-2034
NE
Other
Enumeration date
07/24/2023
Last updated
04/22/2024
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