Individual
MR. REGINALD PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PLADC
Contact information
Practice address
8109 FORT ST, OMAHA, NE 68134-2256
(402) 830-3890
Mailing address
8109 FORT ST, OMAHA, NE 68134-2256
(402) 830-3890
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1380
NE
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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