Individual
NICHOLAS BUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PLMHP, PLADC
Contact information
Practice address
1011 LEAVENWORTH ST # 2933, OMAHA, NE 68102-2933
(402) 614-4870
Mailing address
1011 LEAVENWORTH ST # 2933, OMAHA, NE 68102-2933
(402) 614-4870
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12760
NE
104100000X
Social Worker
—
—
Other
Enumeration date
01/24/2017
Last updated
09/07/2021
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