Individual
BARBARA DOROTHEA GRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1941 S 42ND ST STE 210, OMAHA, NE 68105-2946
(402) 341-6220
(402) 341-6218
Mailing address
1941 S 42ND ST STE 210, OMAHA, NE 68105-2946
(402) 341-6220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
743
NE
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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