Individual
MR. ROBERT P OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
909 W 21ST ST, SOUTH SIOUX CITY, NE 68776-2652
(402) 412-4600
Mailing address
625 COURT ST, SIOUX CITY, IA 51101-1919
(712) 252-3871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
109887
IA
101YM0800X
Mental Health Counselor
Primary
4995
NE
101YM0800X
Mental Health Counselor
9003
NE
Other
Enumeration date
08/02/2010
Last updated
06/21/2024
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