Individual
KRISTIN MARGARET BLAIR-BEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLDAC
Contact information
Practice address
2551 DODGE ST, OMAHA, NE 68131-2642
(402) 342-4135
Mailing address
2551 DODGE ST, OMAHA, NE 68131-2642
(402) 342-4135
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1677
NE
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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