Individual
WILLIE R AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1941 S 42ND ST STE 540, OMAHA, NE 68105-2986
(402) 452-0102
(402) 933-6068
Mailing address
1941 S 42ND ST STE 540, OMAHA, NE 68105-2986
(402) 452-0102
(402) 933-6068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1207
NE
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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