Organization
RESILIENCY AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BOLTER LADC, IADC, PCDGC (OWNER/ADDICTION SPECIALIST)
(402) 200-3808
Entity
Organization
Contact information
Practice address
108 N 49TH ST STE B103, OMAHA, NE 68132-3172
(402) 200-3808
Mailing address
108 N 49TH ST STE B103, OMAHA, NE 68132-3172
(402) 200-3808
(531) 800-5731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
03/25/2026
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