Individual
MS. LAURA JEAN VANDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
729 SEWARD ST, SUITE 2, SEWARD, NE 68434
(402) 643-3343
(402) 643-4048
Mailing address
459 SOUTH 6TH, STREET, SUITE 1, SEWARD, NE 68434
(402) 643-3343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
422
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025208500
—
NE
05
—
10025208600
—
NE
05
—
10025668200
—
NE
05
—
470528515-08
—
NE
05
—
47052851500
—
NE
05
—
47052851501
—
NE
05
—
47052851503
—
NE
05
—
47052851504
—
NE
05
—
47052851506
—
NE
05
—
47052851509
—
NE
05
—
47052851510
—
NE
05
—
47052851514
—
NE
05
—
47052851515
—
NE
01
—
85311
BCBS
NE
Enumeration date
11/14/2006
Last updated
09/30/2008
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