Individual
KENDRA ANNE DIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PADC
Contact information
Practice address
120 E 12TH ST, NORTH PLATTE, NE 69101-2365
(308) 532-0587
(308) 532-0653
Mailing address
120 S 24TH ST STE 100, OMAHA, NE 68102-1205
(402) 599-2056
(402) 591-5075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-2033
NE
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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