Individual
CAROLYN MARY COUEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, LADC
Contact information
Practice address
2808 N 75TH ST, OMAHA, NE 68134
(402) 932-2248
(402) 932-3557
Mailing address
2808 N 75TH ST, OMAHA, NE 68134
(402) 932-2248
(402) 932-3557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
817
NE
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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