Individual
LISA MARIE POPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1941 S 42ND ST, OMAHA, NE 68105-2939
(402) 614-8444
Mailing address
503 N 5TH ST, SEWARD, NE 68434-1829
(785) 850-1864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
P-2072
NE
101YM0800X
Mental Health Counselor
Primary
13338
NE
Other
Enumeration date
03/30/2023
Last updated
02/16/2024
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