Individual
TERESA JEAN BLEDSOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP PLADC
Contact information
Practice address
415 S 25TH AVE, OMAHA, NE 68131-3630
(402) 717-5550
(402) 717-5792
Mailing address
415 S 25TH AVE, OMAHA, NE 68131-3630
(402) 717-5550
(402) 717-5792
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-2111
NE
101YM0800X
Mental Health Counselor
Primary
2744
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2744
—
NE
Enumeration date
04/08/2021
Last updated
12/04/2023
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