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Individual

MRS. JULIE MAE LEARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LIMHP,LADC

Contact information

Practice address
7317 JOSEPH AVE, LA VISTA, NE 68128-2614
(402) 740-6453
(402) 884-1054
Mailing address
7317 JOSEPH AVE, LA VISTA, NE 68128-2614
(402) 740-6453
(402) 884-1054

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
840
NE
101YM0800X
Mental Health Counselor
Primary
1412
NE

Other

Enumeration date
12/09/2008
Last updated
02/04/2019
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